An enlarged liver felt during palpation is finding obtained during the abdominal assessment in an older adult client should prompt the nurse to perform an additional assessment to determine the cause.
Deep palpation of the abdomen is performed by inserting the flat of the hand on the paries and applying firm, steady pressure. it should be useful to use two-handed palpation, significantly in evaluating a mass. Here the favourable position is employed to exert pressure, whereas the lower hand is employed to feel.
An enlarged liver is one that is larger than traditional. The medical term is hepatomegaly . Instead of a unwellness, an enlarged liver could be a sign of an underlying downside, like disease, symptom heart condition or cancer. Treatment involves characteristic and dominant the reason behind the condition.
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if the emt is called to a scene in which death of a terminally ill patient is imminent, it is important for him or her to:
EMTs respond to emergency calls to provide efficient and immediate care to the critically ill and injured and transport the patient to a medical facility.
When would you put an EMT sample to use?
"SAMPLE" is a first aid mnemonic acronym for a person's medical evaluation. Signs and symptoms, allergies, medications, past medical history, last oral intake, and events leading up to the current injury are among the question posed to the patient.
At emergency scenes, emergency medical technicians (EMTs) perform essential, noninvasive interventions to help save lives and reduce harm. They can perform all of the duties of a responder and transport patients safely.
Therefore, EMTs provide the majority of out-of-hospital care in many locations.
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a nurse prepares community teaching on healthy lifestyle modifications to a group of older adults. when discussing obesity rates of older adults in comparison with the rest of the population, what will the nurse include?
Answer:”older adults have a greater prevalence of obesity in comparison to the general population”
Explanation:
the nurse is educating a client prior to performing a nasal swab for the client to know what to expect. the nurse tells the client that after inserting the swab into the nare, the nurse will rotate the swab how many times?
The nurse informs the patient that the swab will be rotated approximately five times after being inserted into the nare. Before performing a nasal swab, the nurse will explain what to expect to the client so they are prepared.
Orient the patient's head 70 degrees back. Until resistance is felt, carefully and gently insert a mini-tip swab with a flexible shaft into the nostril parallel to the palate. The contact with the nasopharynx is shown by the distance is equal to that between the patient's nostril and ear.
Following are the steps of performing a nasal swab. One naris should have a 2 cm swab inserted. Use sterile water to wet the swab. To open the seal on the culture media, gently squeeze the collection tube's bottom. Five times rotate the swab on the anterior nasal mucosa.
Thus, it is clear that the nurse informed the client that she would rotate the swab about five times after placing it in the nare.
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presentation of the treatment plan . group of answer choices should be conducted at the conclusion of the clinical examination is typically scheduled as a 30-minute to 1-hour appointment in a casual atmosphere such as at a restaurant during lunch hour should be conducted in the treatment room where the procedures will be done should be done in terms the patient will understand.
Presentation of the treatment plan should be done in terms the patient will understand.
One to two weeks following the initial appointment, the patient is given the treatment plan, which is one of the most important steps. Aspects including the nature of the treatment, its length, dangers, and potential problems are covered during the presentation of the treatment plan.
Evaluation of the patient's motivation is the first stage in any therapy presentation during initial appointment , especially one that is voluntary. Once the patient has expressed an interest in the therapy, you might arouse enthusiasm by giving an impassioned presentation that will aid the patient in understanding its advantages.
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Judy has been suffering from depression for several years. Medication worked at first, but it has not been effective for the last two years, even though judy has tried several different drugs. Judy is willing to try a different type of biological treatment, but she does not want any part of her brain physically altered. What treatment might her psychiatrist recommend?.
Judy is willing to try a different type of biological treatment, but she does not want any part of her brain physically altered. The treatment might her psychiatrist recommend is Electroconvulsive therapy (ECT).
What is Electroconvulsive therapy (ECT)?The term Electroconvulsive therapy (ECT) has been generally used as the last resort when severe depression has been resistant to the standard treatments or therapies and it has been used in the life taking tendency of the patients who need immediate help.
ECT has been considered as the fastest way to relieve patients of their symptoms of the mental disorders, but it has still poses several risks or side effects such as confusion, memory loss, physical side effects and medical complications.
Therefore, Judy is willing to try a different type of biological treatment, but she does not want any part of her brain physically altered. The treatment might her psychiatrist recommend is Electroconvulsive therapy (ECT).
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an 18-month-old infant is brought to the emergency department with flu-like symptoms. the infant is diagnosed with pneumonia secondary to aspiration of stomach contents. the nurse explains to the parents that pneumonia is a condition that often occurs secondary to:
The patient suffering from pneumonia may have first different bacterial or viral infections.
the child may have suffered from any viral infection or bacterial infection which has leaded to pneumonia.
The patient suffers from complications caused by two different pathogens.
One major complication of viral infections, especially pulmonary viruses is colonization of the viral affected organs by bacteria which is associated with high morbidity and mortality rates.
This may follow having low immune response or opportunistic and accessible routes of entry for bacterial pathogen.
So, after curement of pneumonia the parents have to keep the child away from viral or bacterial infection.
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which patients would be least likely to welcome procedural or sensory information regarding a stressful medical procedure?
A meta-analysis evaluating the effects of sensory and procedural information on coping with painful and stressful medical procedures.
What is a meta-analysis in medicine?A quantitative, formal, epidemiological study method known as a "meta-analysis" is used to carefully evaluate the findings of earlier research in order to draw conclusions about that body of work. The study is typically—but not always—based on randomized, controlled clinical trials.
For dichotomous outcomes, there are four commonly used meta-analytical techniques: three fixed-effect techniques (Mantel-Haenszel, Peto, and inverse variance), and one random-effects technique (DerSimonian and Laird inverse variance). RevMan offers all of these techniques as alternatives for examination.
The stages of a meta analysis are similar to those of a systematic review and involve posing a question, searching the literature, removing data from individual studies, formulating summary estimates, and assessing publication bias.
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a medical patient has rung her call bell complaining of a severe headache, and the nurse has conducted a rapid assessment of the patient. the assessment reveals tachycardia and a blood pressure (bp) reading of 198/144. the nurse would recognize the need to treat this patient for:
The assessment reveals tachycardia and a blood pressure (bp) reading of 198/144 which means that the nurse would recognize the need to treat this patient for high blood pressure(hypertension).
Who is a Nurse?This is referred to as a healthcare professional who takes care of the sick and ensures that adequate recovery is achieved so as to reduce the risk of complications.
We were told that the client is experiencing tachycardia and a blood pressure (bp) reading of 198/144 was taken which means that the individual is Hypertension Stage 3 which is why it was chosen as the most likely type of sickness to be treated.
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he nurse is reviewing a urinalysis laboratory report of a client. the nurse notes there are nitrates and white blood cells present in the urine. based on these results, what intervention(s) would be necessary? select all that apply.
The bacteria or yeast that are causing a urinary tract infection can be found with a urine culture test (UTI).
What does a positive urine culture test result mean?You have a UTI if bacteria develop in the urine culture test and you also exhibit symptoms of an infection or bladder discomfort.A positive urine culture test result or an abnormal test result is this one.The bacteria in the cultured sample are subjected to an antibiotic sensitivity test in the lab. This test, which is also known as an antibiotic susceptibility test, detects the kind of bacteria causing the infection and the medications that will kill the bacterium. Your healthcare professional can choose the most efficient antibiotic medication with the aid of this information.Only specific germs are resistant to certain antibiotics. Furthermore, certain bacteria are resistant to antibiotics. This indicates that the antibiotic is no longer able to prevent the growth of that particular bacterium. It is tougher to treat infections with antibiotic resistance.To Learn more About urine culture test Refer To:
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the client is wearing thigh-high antiembolic hose prescribed by the healthcare provider (hcp). the nurse assesses the client's legs every 8 hours. which assessment finding reflects signs of possible thrombophlebitis that should be reported to the hcp?
Unilateral calf edema findings reflects signs of possible thrombophlebitis that should be reported to the HCP.
Deep venous thrombosis, venous insufficiency, or lymphedema are the most common causes of unilateral lower extremity edema, also known as unilateral calf edema below the knee. The underlying etiology, which is frequently of vascular origin, is frequently revealed by the patient history, physical examination, and lower extremity venous duplex ultrasound.
Thrombophlebitis is an inflammatory condition in which a blood clot forms and blocks one or more veins, most commonly in the legs. The affected vein could be near the skin's surface (superficial thrombophlebitis) or deep within a muscle (deep vein thrombosis, or DVT). Trauma, surgery, and prolonged inactivity are all causes of thrombophlebitis.
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Which medication is used to decrease portal pressure, halting bleeding of esophageal varices?.
The medication used to decrease portal pressure and halt the bleeding of esophageal varices is: vasopressin. To prevent any side effects, vasopressin is usually registered with nitroglycerin.
What is vasopressin?Vasopressin, also known as antidiuretic hormone (ADH) or arginine vasopressin (AVP), is a drug that regulates blood pressure, blood osmolality, and blood pressure volume. It stimulates water reabsorption and helps our kidneys to control the amount of salt and water in our bodies. Hence, to decrease portal pressure and halt the bleeding of esophageal varices, we can get a vasopressin injection to control the urination frequency, and increase thirst so the water loss from our body can be minimalized.
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the vitamin content of fresh fruits and vegetables multiple choice question. is consistent. can be lost through improper storage. continues to increase after harvest. is preserved by heating.
The vitamin content of fresh fruits and vegetables can be lost through improper storage. Therefore, the correct answer is the second option.
Generally, the nutrient value (including vitamin content) of foods is always altered by the process it undergoes. To make sure your food retains most of its nutrient value, make sure you process, store, and cook it properly, in ways such as:
No excessive trimming.No excessive cooking.Keep cold foods cold.Keep in sealed (airtight) containers (if necessary).Avoid boiling if possible, or keep the water (when boiling vegetables) for soup stock.Use fresh ingredients whenever possible.Lean towards grilling, roasting, steaming, stir-frying, or microwaving instead of boiling. It's because these methods preserve nutrients better.Learn more about nutrient value at https://brainly.com/question/6248264
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patients with hansen’s disease (also known as ""leprosy"") initially experience loss of cutaneous sensation in their fingertips and toes. which types of sensory receptors are affected by this disease?
Answer: Exteroceptors are sensory receptors affected by hansen’s disease (also known as ""leprosy"").
In Hansen's disease initially, experiencing loss of cutaneous sensation is due to exteroceptors.
What is Hansen's disease?Exteroceptors react to stimuli that enter the body from the outside, such as sight, sound, touch, smell, temperature, and pain. Interoceptors, also known as visceroceptors, react to bodily stimuli such as deep pressure, chemical stimuli, and many more.
The conventional five senses—the exteroceptors—are the bodily structures in charge of sensing information from the outside world. Information concerning the interior organs is provided by the interoceptors.
Therefore, leprosy, also known as Hansen's disease, is an infection carried on by the slow-growing bacterium Mycobacterium leprae.
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Harley has been diagnosed with borderline personality disorder and is seeing a therapist who is focused on reducing her radical behaviors, discussing her past traumatic experiences, and helping her to develop a sense of independence and self-respect. Harley’s therapist is most likely using.
Dialectical behaviour therapy heavily emphasises the idea of mindfulness, or focusing on the present moment's emotions (DBT). The development of an independent and self-respecting spirit is necessary.
What drug is most frequently prescribed for BPD?Anticonvulsants, antidepressants, and antipsychotics are often used in the treatment and management of borderline personality disorder symptoms.
Why is BPD difficult for therapists to treat?Despite constantly seeking treatment, many BPD patients repeatedly stop their therapy, according to the APA. Some views suggest that BPD patients could be easily triggered during therapy, making it difficult for them to manage their emotions and comply with their therapist.
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the nurse is teaching a group of single appalachian mothers about toddlers and their play activities by explaining that toddlers: question 7 options: a) participate in parallel play. b) demonstrate skill in sharing and cooperative play. c) enjoy playing together with a group of toddlers. d) learn best with intensive drill during play.
A group of single mothers was taught by nurses about toddlers and their play activities by explaining that toddlers participate in parallel play.
The true choice is A.
What is parallel play in toddlers?In parallel play, two or more toddlers play close to each other or next to each other, but without direct interaction. Sometimes they observe other children and even imitate them. This type of play can be started at the age of 18 months and 2 years.
Parallel play can increase self-confidence when children learn to play with others. Children can observe one another and learn new skills by playing with others. Ultimately, it leads to social development where children form relationships with others while they play.
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3. what did the sport medicine physician and other professionals mean when they refer to a patient's attitude?
The sport medicinal drug medical doctor and different professionals suggest that many sufferers undergo bodily ache at some point of their treatments, so sports activities docs have to hold an understanding, supportive and patient's attitude to get them recover.
Sports docs specialize withinside the prognosis and remedy of accidents due to sports activities or workout activities, in addition to widespread bodily health improvement. They get hold of schooling as clinical docs with a area of expertise in sports activities or workout medicinal drug. Sports docs paintings intently with athletic running shoes and bodily therapists, and frequently similarly specialize their exercise as lead physicians for athletic teams.
Sports docs have to be capable of make selections fast and correctly concerning publications of remedy. What sports activities docs advocate frequently immediately affects a patient's life, mainly wherein paintings is involved or whilst an athlete's profession relies upon on his frame functioning properly. A sports activities doctor's selections also can effect different human beings concerned with the patient, including a instruct or athletic trainer.
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a client with acute liver failure exhibits confusion, a declining level of consciousness, and slowed respirations. the nurse finds him very difficult to arouse. the diagnostic information which best explains the client's behavior is:
The diagnostic information would be ''subnormal serum glucose and elevated serum ammonia levels''.
What happens when someone has acute liver failure?The most frequent side effects of acute liver failure include bacterial and fungal infection, low blood sugar, and these conditions. Another negative effect of acute liver failure is brain swelling. Additionally, it is among the most severe. Additionally typical are confusion, abdominal enlargement, and unusual bleeding.The condition of acute liver failure is uncommon. It occurs when your liver's capacity to operate abruptly starts to decline. Immediately following a medication overdose or poisoning, this frequently occurs. Chronic liver failure develops gradually over time.Hepatitis is a possible cause of acute liver failure. Additionally, using medications like acetaminophen might contribute to it. Acute liver failure can also be brought on by Wilson's disease and autoimmune conditions. Sometimes there is no known cause for the disease.Learn more about acute liver failure refer :
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if you suspect someone is having a heart attack, you should care for the victim by a. placing a blanket over them. b. keeping them calm and calling 9-1-1. c. helping them walk to keep the blood flowing. d. taking their pulse and monitoring them.
If you suspect someone is having a heart attack, you should care for the victim by keeping them calm and calling 9-1-1.
If you or someone you are with is suffering chest discomfort or other heart attack symptoms, call 911 right once. (Confirm your neighborhood's plan; some neighborhoods require you to phone a different number.) It's better to call an ambulance than to resist the impulse to drive the heart attack victim or yourself to the hospital. Staff from emergency medical services (EMS) may start providing care while the patient is being transported to the hospital. Additionally, they learn how to provide CPR if someone's heart stops.
If you can't reach EMS, take the patient to the hospital by car. Unless you have no other choice, avoid driving yourself to the hospital if you are the one suffering the symptoms.
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all drugs on the market today have been standardized and approved for safety, accuracy of dose, and effectiveness by the
All drugs on the market today have been standardized and approved by the: FDA. The FDA stands for U.S. Food and Drug Administration.
What is FDA?FDA, which stands for The United States Food and Drug Administration, is a federal agency of the Department of Health and Human Services. They are responsible for ensuring all drugs, foods, biological products and medical devices on the market have met the standard of safety, efficacy, and security. This is why if we want to buy a drug or other products, we must ensure that it has FDA approval.
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What does conventional theory argue?
Finally, a theoretically endless number of trials led to normalized frequency distributions.
The traditional theory was put forth by whom?In the 1930s, Arthur Holmes presented the Convectional Current Theory. The potential of convection currents acting in the mantle portion was suggested. These currents are produced as a result of thermal variations in the mantle part brought on by radioactive materials.
What makes electron theory different from conventional theory?Electron current refers to the movement of electrons. The negative terminal releases electrons into the positive terminal. Positive charge carriers are thought to be the cause of current flow in conventional current, also known as just current. Normal current moves from the positive terminal to the negative terminal.
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the client is scheduled to undergo right carotid surgery. the perioperative nurse prepares for surgical skin antisepsis to include which surface area boundaries?
The nurse serves as the patient's advocate during the preoperative evaluation by recognising the patient's needs and any risk factors that might be impacted by the surgical treatment.
What duties do nurses have throughout each perioperative stage?The nurse's duties include checking the preoperative checklist, drafting the informed consent, making various preparations, determining whether prescribed medications are administered, and ensuring that blood and intravenous access are available.
What steps take place during preoperative planning?You must fast from food and liquids for a set period of time before the procedure. The area that will be operated on should be cleaned or shaved. before surgery, get any X-rays, blood tests, electrocardiograms, or other tests that may be required.
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a client presents to the office with concerns of low testosterone and feels it is due to a pituitary gland disorder. which teaching would the nurse provide to educate this client on how testosterone is produced?
The teaching to educate a client on how testosterone is produced is that testes are male gonads and they function as reproductive organs responsible for the production of both testosterone and spermatozoa.
What is testosterone?Testosterone is the main male hormone that is responsible for the development of male features in individuals, which is synthesized by the testes. i.e. the male reproductive organs in male adults and adolescents.
Therefore, with this data, we can see that testosterone and germinal spermatic gametic cells are generated by the male testes, which are the reproductive organs in males.
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what term is used to describe the practice of combining steroid pills with intramuscular injections at the same time?
Stacking term is used to describe the practice of combining steroid pills with intramuscular injections at the same time.
Cycles of steroid use are a regular practice. To achieve this, you must take a number of doses of steroids over a certain period of time, stop, and then resume. People who misuse steroids also regularly combine oral, injectable, and/or topical dosages of the drug, occasionally even ingesting veterinary-grade products. This practice is known as "stacking" medication. The theory, which has not been empirically supported, contends that a combination of steroids can increase muscle growth more than the effects of any one steroid taken alone.
Pyramiding is a common way to misuse steroids and involves taking them in cycles of six to twelve weeks.
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the nurse is teaching a pregnant client about the physiological effects and hormonal changes that occur during pregnancy. the client asks the nurse about the role of estrogen in pregnancy. which responses should the nurse give the client about the role of estrogen? select all that apply.
It increases the blood flow to mucous membranes and causes them to swell and soften.
It stimulates uterine development to provide an environment for the fetus and stimulates the breasts to prepare for lactation.
Estrogen, which is produced by the ovaries and later the placenta, promotes the growth of the uterus, maintains the uterine lining, controls other important hormones, and starts the development of the baby's organs.
Low estrogen levels can be fatal to a pregnancy and can result in miscarriages, less eggs in a newborn female, and long-term fertility problems in female children. Estrogen levels fall after delivery and remain low for as long as you are breastfeeding.
Numerous studies have discovered, like ours, that estrogen levels have little bearing on the outcomes of pregnancy. The endometrium must be prepared for pregnancy by taking estrogen and progesterone. However, even very low estrogen levels do not lower the rate of pregnancies.
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Asbestos fibers cause a cancer called mesothelioma in humans. The fibers kill cells that line lung tissue by causing programmed-cell death. When cells die this way, they release a chemical, hmg1, which causes an inflammatory response in other cells. During this inflammatory response, cells release chemicals that promote tumor growth. What conclusion can you draw about the chemicals released in the inflammatory response?.
The conclusion that we can draw about the chemicals released in the inflammatory response is that HMG1 acts as a mediator of acute lung inflammation that might leads to lung cancer, such as mesothelioma. The presence of HMG1 causes cells to release certain chemicals that promote tumor growth.
Asbestos Fibers Linked to MesotheliomaAsbestos is a crystalline category of naturally occurring silicate fibers. These fibers are only visible under a microscope. Asbestos harms lung tissue cells by inducing programmed cell death. When cells die in this way, they produce HMG1 (high mobility group proteins 1) that promotes an inflammatory reaction in other cells. Cells release substances that stimulate tumor development during this inflammatory reaction. In humans, asbestos fibers cause mesothelioma, a type of cancer. Mesothelioma is typically lethal. These asbestos-related diseases do not show themselves immediately but may appear 20 to 50 years after exposure.
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a patient with a diagnosis of deep vein thrombosis (dvt) is being treated with unfractionated heparin, which is being administered intravenously. the nurse who is providing care for this patient should consequently prioritize what assessments?
The nurse tending to the patient who has been diagnosed with deep vein thrombosis (DVT) and is receiving unfractionated heparin intravenously should prioritize looking for internal and external bleeding.
When used therapeutically, heparin has bleeding as one of its main adverse effects. There is currently a lot of proof that employing low molecular weight heparins, heparinoids, and heparin with poor affinity to AT III can separate the hemorrhagic and antithrombotic effects of heparin.
This medication may result in severe bleeding. This occurs as a result of the drug's reduction in your body's capacity to produce blood clots. You could bruise more readily if you take heparin. Your body may also take longer to cease bleeding.
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question while reviewing an adult client's chart, a nurse notes average daily intake of fluids as 2,000 ml/day. what will the nurse do based on this information?
All healthy people should consume at least 8 to 10 glasses of water each day.
What is the typical fluid intake per day?For healthy men and women, the National Academy of Medicine recommends a sufficient daily fluid intake of 13 cups for males and 9 cups for women, with 1 cup equaling 8 ounces. [1] For people who are highly active or exposed to particularly warm conditions, higher quantities could be required.
How many 20-ounce glasses of water should I consume daily?As a result, the amount of water you should consume each day may change depending on what else you're doing, eating, and drinking. Actually, it is recommended by the Institute of Medicine of the National Academies of Sciences that adequate 2.7 to 3.7 litres are consumed every day.
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the nurse is reviewing the laboratory test results for a client seen in the health care clinic and notes that the hematocrit value is 30% (0.30). the nurse determines that this hematocrit value is most likely to be associated with which condition?
the nurse determines that when the hematocrit value is is 30% (0.30) it is most likely to be associated with Iron deficiency anemia.
The volume percentage of red blood cells in blood, also known as the hematocrit level, is measured as part of a blood test. The number and size of red blood cells determine the measurement. Males typically have 40.7-50.3% and females have 36.1-44.3%.
A low hematocrit level is caused by blood loss as a result of an injury or illness. The number of red blood cells is affected by blood loss. Lower hematocrit levels are associated with fewer red blood cells. Because leukemia cells in your bone marrow are displacing healthy red blood cells, you have fewer red blood cells than usual.
Iron deficiency is a common cause of the body having too few healthy red blood cells (anemia). Iron deficiency in a pregnant woman puts the baby at risk of developmental delays.
The most common symptom is fatigue. Treatment consists of iron supplements as well as a focus on any underlying causes.
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signs of a pulmonary blast injury include
Signs of a pulmonary blast injury include dyspnea, tachypnea, and cyanosis.
Most cases of dyspnea result from bronchial asthma, coronary failure and heart muscle anemia, chronic impeding pneumonic unwellness, opening respiratory organ unwellness, pneumonia, or mental disorders. The etiology of symptom is multi-factorial in concerning one-third of patients.
Tachypnea is a term wont to outline fast and shallow respiratory, that mustn't be confused with external respiration, that is once a patient's respiratory is fast however deep. each square measure similar in this each result from a buildup of carbonic acid gas within the lungs, resulting in exaggerated carbon dioxide within the blood.
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select all that apply: the hipaa privacy rule permits use or disclosure of a patient's phi in accordance with an individual's authorization that:
The HIPAA Privacy Rule permits use or disclosure of a patient's PHI in accordance with an individual's authorization that:
-Includes core elements and required statements set forth in the HIPAA Privacy Rule and DoD's implementing issuance.
-Is written and signed by the patient.
The HIPAA Privacy Rule establishes national standards to protect individuals' medical records and other individually identifiable health information and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transactions electronically. The Rule requires appropriate safeguards to protect the privacy of protected health information and sets limits and conditions on the uses and disclosures that may be made of such information without an individual’s authorization. The Rule also gives individuals rights over their protected health information, including rights to examine and obtain a copy of their health records, to direct a covered entity to transmit to a third party an electronic copy of their protected health information in an electronic health record, and to request corrections.
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