“1. Falls
commonly cause cuts, scrapes, bumps to the head and concussions, fractures, dislocations and hand and wrist injuries,” Mendoza says. “In those who are on blood thinners, we see subdural hematomas, which is bleeding in or around the brain.”
To prevent falls, eliminate obstacles in the home that pose a tripping hazard, install grab rails or supports in places such as the bathroom and use your cane or walker if you have one. Ask your doctor if any of your medications cause dizziness. If you drink alcohol, do so only in moderation.
2. Cuts
Cuts sounds like a relatively minor injury, but they can be dangerous when there’s heavy bleeding or an infection. People often cut themselves at home while preparing food in the kitchen and working on home improvement projects, says Mendoza, who has seen an increase in cuts on the hands and fingers.
“It may be counterintuitive, but make sure you are using a sharp knife when cutting and prepping food,” Mendoza says. “A dull knife will make it more difficult to slice through food and can slip, causing you to cut yourself.”
Using a cutting board can reduce the risk of knife slips, too — never cut something in your hand. If you’re doing home repairs, wear sturdy work gloves and don’t tackle projects that feel beyond your skill set.
3. Burns
Another indication more people have been in the kitchen: more burns from boiling water or hot oil.
“We’ve also seen burns from exposure to chemicals and accidents when starting or tending to a fire,” Mendoza says.
When cooking, pay attention to what you’re doing, wear protective gear as needed (such as oven mitts) and keep children and pets away. If using potentially hazardous chemicals, such as bleach, drain cleaner or paint thinner, read all the instructions, wear protective gear and store them out of reach of children. Make sure there’s a working smoke detector on every level of your home, and never leave any type of fire, including campfires and fire pits, unattended or in reach of children or pets.
4. Poisonings
Poisonings are the most common preventable injury cause of death in the home.
Accidental overdoses can happen if you forget whether you have taken a dose of medication and then take it again. Poisonings also can happen if children are able to reach medications, household cleaners or chemicals. In the winter, carbon monoxide poisoning can result from keeping gas grills or heaters inside, or because a gas furnace malfunctions.
“Make sure your smoke alarms are working properly and have good batteries,” Mendoza says. “Add a carbon monoxide alarm to your home if you don’t have one. Keep medications and household cleaners in places that children cannot reach, and help older loved ones keep track of when they are supposed to take their medications.”
5. Gunshot wounds
Mendoza says the emergency department is seeing more injuries from accidents involving guns at home, especially bullet wounds in the legs, feet and toes.
“We’ve seen incidents in which children have found loaded guns in the house and fired the weapon,” Mendoza says. “We’ve also seen incidents with adults who didn’t know the gun was loaded or the safety was off or had an accident while cleaning their gun.”
If you have a gun in your home, keep it locked in a place where children cannot access it, and store firearms and ammunition separately, both under lock. Make sure anyone who handles the firearm understands how to do so safely.
victims may be disabled by an alcohol or a substance abuse problem
The Canadian Human Rights Act classifies substance dependence, sometimes known as addiction, as a handicap.
What is addiction?Addiction is defined as a persistent malfunction of the memory, motivation, and reward systems in the brain. Repeated drug use appears to alter the way your brain experiences pleasure, which leads to physical addiction. Some nerve cells in your brain undergo physical alterations as a result of the addictive substance.
As a result, an employee who has been diagnosed with substance abuse has the same entitlement to reasonable accommodation from their employer as anyone else with a handicap. Alcoholism and drug addiction are occasionally viewed as impairments in California.
Thus, the Canadian Human Rights Act classifies substance dependence, sometimes known as addiction, as a handicap.
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diana has been fasting for a few days and decides to go for a short run before breaking her fast. the glucose she needs for her run will come from ____.
She decides to break her fast a few days later and go for a quick run; the glucose she needs for the exercise will come from glycogenolysis.
What does having high glucose mean?Due to insufficient insulin production, hyperglycemia implies there is too much sugar in the blood. Hyperglycemia, a condition linked to diabetes, can result in symptoms such as vomiting, extreme appetite and thirst, a quick heartbeat, eyesight issues, and more.
Does water consumption reduce blood sugar?Did you know that because it's Sugar Free February, drinking water helps reduce blood sugar levels by diluting the quantity of glucose (sugar) in your system. Lots of water consumption will help to minimize insulin resistance, which in turn will help to lower blood sugar levels.
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QUESTION 16
Stanley Milgram's famous research (The fake electric shock experiment) investigated:
Obedience to an authority figure
O Bystander apathy
O The effects of watching violence on TV
O Prejudice
Cocaine may ________ symptoms of schizophrenia by ________ dopamine levels.
a. eliminate; decreasing
b. decrease; increasing
c. increase; increasing
d. decrease; decreasing
e. increase; maintaining
Answer:
c. increase; increasing
Explanation:
In people with schizophrenia, increased dopamine levels can exacerbate the symptoms of the disorder. Schizophrenia is a serious mental illness characterized by a range of symptoms, including delusions, hallucinations, and abnormal thinking and behavior. It is thought that abnormalities in dopamine signaling may contribute to the development and maintenance of these symptoms. Therefore, using cocaine, which increases dopamine levels, may increase the severity of symptoms in people with schizophrenia.
Risk factors for AMI that cannot be controlled include:
a. family history.
b. excess stress.
c. hyperglycemia.
d. lack of exercise.
Risk factors for AMI that cannot be controlled include option a. family history.
Acute myocardial infarction (AMI) is an occurrence within which a series of changes occur within the heart tissue, caused by the obstruction of a artery or reduced blood flow, inflicting low gas provide within the viscus cell, culminating in death and loss of heart tissue.
A family history of AMI is a longtime risk issue for, and hardening of the arteries risk factors (eg, smoking, cardiovascular disease, symptom, obesity, and polygenic disorder mellitus) ar better-known to switch the association between FHMI and MI slightly.
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1. Which method is most commonly use to identify patients:
Patient's room number
Patient's diagnosis
Patient's bed number
-identifiers (name ad/or date of birth)
2. You are assigned two patients with the same name of John Smith. What should your initial action be:
Check the ID bracelet for ID number assigned upon admission.
Identify information in patient's chart
Just give any medications or treatments as prescribed and hope you have the right patient
Call patient's name and check ID bracelet.
3. What is a leading cause of death in elderly and children:
Heart attacks
Falls
Burns
Flu
4.You are assisting a patient with shaving with an electric shaver. Your first action should be:
Inspect shaver and blades
Turn on shaver
Lather patient's face with shaving cream
Hand the patient a mirror in order for him to see what you are doing
To ensure the patient is safe before transferring to a stretcher. You should first:
Raise side rails
Lock the wheels
Move the patient's head to the stretcher first
Ask the patient to roll on his side with rails down
Medicine is the practice of diagnosing, treating, and preventing diseases and injuries. It involves the use of various methods, including medications, surgery, and other therapies, to restore health and improve the quality of life of patients. Medicine is a field that involves both scientific knowledge and compassionate care, and it requires ongoing education and training to stay up-to-date on the latest developments and techniques.
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You arrive on the scene where a patron appears to be injured. Before approaching the victim, which of the following will you NOT do as you size-up the scene?
The arrive on the scene where a patron appears to be injured. Before approaching the victim, which of the following by the Begin appearing the number one assessment.
The number one evaluation is supposed to evaluate and interfere hastily for life-threatening situations in significantly unwell or injured patients.The first matters to search for are situations which can threaten a casualty's life.
The rescuer need to start remedy and number one evaluation with the aid of using speakme to the casualty if conscious. Rescuers will then need to manipulate extreme bleeding and deal with for surprise or different extreme accidents or illness.
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diabetic ketoacidosis occurs when
Diabetic ketoacidosis occurs when the liver breaks down fat to be used as energy in an excessive way leading to the formation of ketones in the body.
What is diabetic ketoacidosis?
Diabetic ketoacidosis is defined as a metabolic disorder that occurs as a complication of uncontrolled diabetes. The diabetic ketoacidosis occurs when there is lack of insulin which leads to the inability of the body to use glucose for energy, it will compensate by break down of fat in the liver for energy leading to formation of ketones.
The clinical manifestations of diabetic ketoacidosis include the following:
Being very thirstyUrinating oftenFeeling a need to throw up and throwing upHaving stomach painBeing weak or tiredBeing short of breathHaving fruity-scented breath.Learn more about diabetes here:
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Benzodiazepines, prescribed to treat generalized anxiety disorder, stimulate the actions of the neurotransmitter: _________
Benzodiazepines, prescribed to treat generalized anxiety disorder, stimulate the actions of the neurotransmitter GABA.
Benzodiazepines, typically known as "benzos", are a category of depressant medication whose core chemical structure is that the fusion of a benzene and a diazepine ring. They're prescribed to treat conditions like anxiety disorders, insomnia, and seizures.
GABA (Gamma-aminobutyric acid ) , is that the chief repressing neurotransmitter within the developmentally mature class central systema nervosum. Its principal role is reducing neuronic excitability throughout the systema nervosum. gamma aminobutyric acid is sold-out as a dietary supplement in several countries.
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What CNS-associated structure is illustrated in this figure? O arachnoid villus O Le cerebral aqueductO choroid plexusO hypothalamus
The cns-associated structure in the given question is illustrating a Choroid plexus. Hence, the answer is Choroid plexus. Read below about Choroid plexus.
The full form of CNS is central nervous system. The Nervous system of our body is the most important system which include the brain, spinal cord, nerves etc.
It coordinates the functions, behaviors and also transmits signals to various parts of the body.
Choroid Plexus:
It is a network of blood vessels and cells in the ventricles (fluid-filled spaces) of the brain. The blood vessels are enclosed by a thin layer of cells that make cerebrospinal fluid.
So, the correct answer is Choroid plexus.
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A man was found unresponsive in his bed at home. There is no evidence of injury and the patient's medical history is not known. The patient's face is cyanotic, yet the pulse oximeter reads 98%. Which of the following would MOST likely explain this?
The pulse oximeter displays 98% even though the person's face is cyanotic. Most likely, carbon monoxide poisoning explains this.
What does it mean to be cyanotic?When you have cyanosis, your skin, lips, and/or nails take on a bluish hue. It happens when your blood doesn't have enough oxygen to go to all of the tissues within your body. Numerous disorders can result in cyanosis. Some of these might be severe medical issues. The cause affects the diagnosis and course of action.
What causes cyanosis the most commonly?Cyanosis is typically brought on by problems with the heart, lungs, or blood. Under normal circumstances, red blood—which is rich in oxygen—is sent from the heart towards the body's other organs after getting oxygen from the lungs.
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Common disorder of the bladder where bacteria infects the lower urinary tract which causes irritation and inflammation.
a. True
b. False
Answer:
True
Explanation:
A common disorder of the bladder where bacteria infects the lower urinary tract is called a urinary tract infection (UTI). UTIs can cause irritation and inflammation of the bladder and other parts of the urinary tract. UTIs are typically caused by bacteria entering the urinary tract and multiply, and they can be treated with antibiotics. UTIs can be uncomfortable and painful, and they can affect people of all ages.
How many liters of oxygen can a patient be placed on without a doctors order: Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., \& Reinisch, C. (2020). Lewis's Medical-surgical nursing : Assessment and management of clinical problems (11th ed.). Elsevier, Inc. O 4 liters
O 3 liters
O 5 liters
O 2 liters .
The liters of oxygen that a patient can be placed on without a doctors order is B. 2 liters .
How to illustrate the information?A registered nurse can give 2 litres per minute in an emergency without a doctor's orders.
A nurse can give oxygen at a rate of 2 liters per minute without a doctor's order in emergency situations and if the patient's oxygen is less than 92%, but the condition of the patient should be checked by a doctor within 30 minutes.
Therefore, based on the information given, it should be noted that the correct option is D.
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during therapy, aisha is prescribed medication that would boost her serotonin levels. which type of clinician is she most likely seeing?
During therapy, Aisha is prescribed medication that would boost her serotonin levels. psychiatrist type of clinician is she most likely seeing.
A doctor with a specialty in psychiatry, the area of medicine concerned with the identification, avoidance, investigation, and treatment of mental problems, is known as a psychiatrist.
As medical professionals, psychiatrists assess patients to determine if their symptoms are due to a physical disease, a mix of physical and mental illnesses, or only mental problems.
A psychiatrist may occasionally be a part of a multidisciplinary team that includes clinical psychologists, social workers, occupational therapists, and nurses. Psychiatrists have extensive training in the diagnosis and treatment of mental disorders using a biopsychosocial approach.
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1. A nurse is performing a skin assessment on a client. which of the following findings should the nurse report to the provider?a. skin tags on the neckb. yellow discoloration of the palmsc. brown birthmark on the thigh2. A nurse is inspecting the finger nails of an older adult client. Which of the following findings should the nurse report to the provider?a. yellowed nail colorb. white horizontal linesc. spongy nail based. capillary refill 2 secondsd. absent tenting of the skin
The nurse should inform the provider of the patient’s palms which are yellow and the nurse’s discovery of spongy nail bases.
Jaundice, or yellow coloring of the skin, needs to be reported to the provider. A high level of bilirubin, a byproduct of the destruction of red blood cells, is what causes it. Patients with blood or liver problems may have jaundice. Those with light skin tones can see jaundice all over their bodies, while clients with deeper skin tones can see it on their palms and soles. The hard palate and sclera of all patients exhibit color shifts.
The nail’s base should feel solid to the touch. Spongy nail bases are related to nail clubbing, which is a symptom of persistent hypoxia. This finding should be communicated to the provider by the nurse.
Therefore, choices B and C are each the appropriate response.
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a blood specimen is received in the laboratory for testing five hours after collection. which of the following test results may be falsely decreased?
Serum/plasma should be removed from the cells as soon as possible after the collection.
What is a blood specimen?
A blood specimen is a sample of blood taken from a patient for medical testing. It is usually collected via venipuncture (drawing blood from a vein) or from a finger cut. Blood specimens can be used to diagnose diseases and infections, measure hormone levels, determine blood cell counts, and check for drug or alcohol levels.
Some tests could yield inaccurate results if the specimen is not centrifuged within the first two hours of collection. Test results for lactate dehydrogenase, creatinine, and potassium may rise while those for serum/plasma glucose may decrease.
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The goal of the PPACA was to ___ and, at the same time, reduce the medical ___ reduce the medical expenditure sthat Medicare has been facing over the years
The goal of the PPACA was to expand health insurance coverage and, at the same time reduce cost-sharing for individuals, reduce the medical expenses that Medicare has been facing over the years.
PPACA stands for Patient Protection and Affordable Care Act. This is one of the two laws that make up the Health Care Reform Act.
PPACA's goal is to ensure more people have health insurance, reduce healthcare costs, and improve patient care.
One of the important products of the ACA is the health insurance market (also called an exchange) which is run by the federal government. The federal marketplace, health.gov, is a website where Americans can shop, compare, and then buy individual insurance plans. Plans are available to anyone not using a group plan, including unemployed and self-employed individuals. Several states have created their marketplaces, but most still rely on health.gov.
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What is significant about Crick's and Watson's discovery?
Watson and Crick developed their ideas about inheritable replication. The two had shown that in DNA, form is function: the double- stranded molecule could both produce exact clones of itself and carry inheritable instructions.
Crick, Watson codiscovered the double- helix structure of DNA, which formed the base for ultramodern biotechnology.
Using theX-ray diffraction studies of DNA done by Wilkins andX-ray diffraction pictures produced by Rosalind Franklin, Watson and Crick were suitable to construct a molecular model harmonious with the known physical and chemical properties of DNA.
Understanding the structure and function of DNA has helped revolutionise the disquisition of disease pathways, assess an existent's inheritable vulnerability to specific conditions, diagnose inheritable diseases, and formulate new medicines. It's also critical to the identification of pathogens.
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apply concepts of quality and safety using structure, process, and outcome measures to identify clinical questions and describe the process of changing current practice.
Outcome measures indicate the results of a process, such as if a patient's condition improved or worsened after receiving a specific service.
The results of a process are shown by outcome metrics, such as whether a patient's condition became better or worse after receiving a certain service.
Quality indicators such as medication adherence, blood pressure control in COPD patients, and rates of surgery-related mortality are examples of outcome metrics. Even though uncontrollable non-medical factors may have an impact on outcome measures, these measurements nonetheless have the potential to provide precise information about beneficiary healthcare quality.
The HEDIS dataset's outcome indicators track treatment persistence through time, monitoring of health conditions, and follow-up treatments.
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An 18-year-old football player is seen in the emergency ward with severe knee pain incurred after being hit by a tackler while running. Which of the followingfindings on physical examination is most sensitive for an anterior cruciate ligament injury?a. Excessive valgus laxity of the kneeb. Excessive varus laxity of the kneec. Locked kneed. Positive Lachman teste. Positive posterior drawer test
The answer is b. (Brunicardi, pp 1579-1580.) Lachman test is a sensitive and reliable clinical test to evaluate for injury to the anterior cruciate ligament (ACL).
The knee is held in slight extension and while holding the thigh steady with one hand the tibia is pulled anteriorly with the other hand. Anterior translation of the knee.
suggests a torn ACL. The posterior drawer test is used to evaluate for a posterior cruciate ligament injury and is essentially the reverse of the Lachman test with a
slightly flexed knee. A "locked knee" occasionally occurs with a displaced meniscal tear and prevents full extension of the knee. Excessive valgus laxity (outward
deviation of the leg) is associated with a medial cruciate ligament injury while excessive varus laxity can be seen with a lateral cruciate ligament injury.
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Which of the following statements shows a relationship that is correlated but NOT causal? A. The amount of led paint in a house and the slow brain development in children. B. The years of smoking and lung diseases. C. The amount of junk food consumed and the weight increase in children. D. Outdoor exercise and the incidence of skin cancer.?
Outdoor exercise and the incidence of skin cancer due to over exposure to the UV rays emitted by the sun.
It is possible for cancer to spread to more body parts or to infect them. A group of illnesses known as cancer are characterised by uncontrollable cell division. Benign tumours do not spread, in contrast. Some probable symptoms and indicators include a lump, unusual bleeding, a chronic cough, unexplained weight loss, and a change in bowel habits. There are other potential explanations besides cancer, however these symptoms can be connected to it. Over 100 different varieties of cancer can strike anyone.
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Demographic information includes all of the following EXCEPT the patient's:
Demographic information includes all of the following except the patient's medical history which is therefore denoted as option A.
What is Demographic information?This is referred to as the statistical study of populations, especially human beings and certain attributes such as age, gender, place of residence which are used for certain reasons such as identification etc.
This type of information also involves the parameters such as race, ethnicity, marital status, income, education, and employment of the individual and is therefore the reason why medical history was chosen as the correct choice in this scenario as it is not among the demographic information of individuals.
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The options are:
a. medical history
b. employer
c. marital status
d. address
which of the following is not a recommendation for enhancing the children's lives to early intervention
Because of early intervention, the children's lives the importance of honing skills and understanding via practice.
Enhance – does that imply better?Transient verb. To enhance anything is to raise its worth, excellence, or appeal. That reputation is something the White House is trying to preserve and cultivate. Synonyms include better, increase, elevate, and improve. alternatives to improve.
Which example best illustrates enhancing?An example of a better statement Any action he took against a lady was enhanced by his bite. For the first time, he was tidy and well-dressed; his tailored attire highlighted his strong, trim frame. The art of interior design involves using the appropriate colors, materials, and furniture to improve a space.
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What would you expect the clinical laboratory technicians to look for in julie's blood smear?
The clinical laboratory technicians look out for levels of myelocyte-derived white blood cells significantly basophils, neutrophils, also as mast cells.
A blood smear is a biopsy that provides info regarding the amount and form of blood cells. it's typically done as a part of or at the side of a whole blood count (CBC). Sickle cell anemia is an inherited disease within which abnormal hemoprotein (the red pigment within red blood cells) is made.
Mast cells play a vital role in however the system responds to sure bacterium and parasites and that they facilitate management different kinds of immune responses. They contain chemicals like amine, heparin, cytokines, and growth factors.
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Classify each characteristic as a prebiotic, probiotic, or postbiotic. Prebiotics Probiotics Postbiotics Byproducts include short chain fatty acids, enzymes amino acids, and some nutrients Sources include yogurt, kefir, and sauerkraut Metabolites produced by beneficial bacteria Sources include legumes, garlic, wheat bran, and bananas Healthy bacteria that reside in your GI tract Foods that nourish the gut bacteria
Prebiotics, probiotics and postbiotics:
Prebiotic: Legumes, garlic, wheat bran, and bananasProbiotic: Yogurt, kefir, and sauerkrautPostbiotic: Byproducts include short chain fatty acids, enzymes amino acids, and some nutrients; Metabolites produced by beneficial bacteria; Healthy bacteria that reside in your GI tract.The Benefits of Incorporating Prebiotics, Probiotics, and Postbiotics Into Your DietGood nutrition is essential for maintaining a healthy lifestyle, and the types of food you consume can have a huge impact on your overall health and well-being. Prebiotics, probiotics, and postbiotics are three distinct but related types of food that can help you improve your digestive health and promote the growth of good bacteria in your gut. In this essay, we will explore how prebiotics, probiotics, and postbiotics can benefit your health and how they can be incorporated into your diet.
Prebiotics are non-digestible carbohydrates that promote the growth of beneficial bacteria in the gut, allowing them to thrive and perform their functions. Foods high in prebiotics include legumes, garlic, wheat bran, and bananas. Prebiotics can help to improve digestion, reduce inflammation, and support overall gut health.
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Patient is prescribed 0.8 micrograms of levothyroxine per kilogram q 12 hours. Patient weight is 92 kilograms. How much medication should the patient be given:
Answer:
150 miligrams
Explanation:
147.2
is the correct answer
Suppose that drug a binds to the hapten associated with poison ivy, and blocks the hapten from interacting with other molecules. if a person with a type iv hypersensitivity took this drug and then was exposed to poison ivy, which of the following would you expect to happen?a. The person would likely not experience symptomsb. The person would likely not experience symptoms, but only if it were their first time being exposed tp poison ivyc. The person would likely experience an allergic reaction, but only if it were their first time being exposed to poison ivyd. The person would go into anaphylactic shock
The Correct option(A) The person would likely not experience symptoms,
Whenever a sensitive person come in contact with poision ivy gene generate hyper sensitive reaction in which his screen start to produce rashes and blister.
Hepeten of poison ivy is responsible for hypersensitivity reaction.
If somehow the hepten of poison ivy is blocked the antigenic property of poison will be lost due to which there will be no hyper sensitive reaction against the position in the body.
So when drug A block be hepten of poison ivy there will be no interaction of poison and immune cells due to which no symptom of hypersensitivity will appear.
So option A is correct.
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wetary recommendations suggest that we consume monounsaturated fats in the place of saturated fat. Which of the following items should you put on your sandwich to help achieve this goal? (2pts) Mayonnaise b. American cheese Avocado d. Tuna
American cheese To help you accomplish this, add avocado to your sandwich.
Option b is correct.
Which foods are the richest sources of polyunsaturated fats?All foods high in fat contain a variety of fats, polyunsaturated fat being one of them. The term "oils" refers to polyunsaturated fats, which are often liquid at room temperature. The main sources of them include seeds, nuts, fatty fish, and plant-based oils.
Test your knowledge of the foods that are rich in polyunsaturated fatty acids.Excellent sources of monounsaturated and polyunsaturated fats include nuts, seeds, whole grains, beans, and vegetable oils including flaxseed, canola, and soybean. The body creates molecules that perform numerous essential bodily processes using the polyunsaturated fatty acids linolenic and linoleic acids.
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Age-related changes in the renal system result in:
Age-related changes in the renal system result in: A decreased ability to clear wastes from the body and a decreased ability to conserve fluids when needed. The risk of bleeding in the skull, which increases with age, is MOST directly related to: Shrinkage of the brain.
The kidneys, ureters, bladder, and urethra make up the urinary system, which is sometimes known as the urinary tract or the renal system. Only a few of the tasks carried out by the urinary system include waste elimination, blood volume and pressure regulation, electrolyte and metabolite level adjustment, and blood pH modulation. The body's primary drainage mechanism for excreting urine is the urinary tract. The renal arteries and veins provide an ample supply of blood to the kidneys. Nephrons are functional organelles found in each kidney. Wastes (in the form of urine) exit the kidney through the ureters, which are tubes made of smooth muscle fibers and carry urine to the bladder for extra processing and storage.
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Collaboration is key to respect. T/F
To ensure that the provided assertion is TRUE. Collaboration is essential. The explanation of the statement is provided below.
Patients, families, and a broad team of frequently highly skilled healthcare professionals all contribute to the delivery of health care. To deliver outstanding care, all of these team members must be engaged in a cooperative and coordinated manner. In this essay, important ideas about interprofessional collaborative cooperation are introduced. Evidence proving the advantages of collaboration as well as methods for measuring and researching it are offered. We outline the structural, psychological, and educational variables that may influence cooperative behavior. Sending the message that we can cooperate and providing evidence that it is feasible has a significant impact.
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