"You sound upset about not being able to have an erection." is initial response would the nurse make to a 67 year old man with type 2 diabetes.
The way your body converts food into energy is affected by diabetes, a chronic (long-lasting) health disease. Your body converts the majority of the food you consume into sugar (glucose), which is then released into your circulation. Your pancreas is notified by an increase in blood sugar to produce insulin. The body's organs might get damaged over time by excessive blood sugar levels. Long-term consequences might include damage to both big and tiny blood arteries, which could result in heart attacks, strokes, and issues with the kidneys, eyes, mouth, feet, and nerves.
which initial response would the nurse make to a 67 year old man with type 2 diabetes who sadly confides in the nurse that he has been unable to have an erection for several years?
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When basing an agency clinical protocol on an evidence-based clinical practice uideline, which of the following courses of action is of questionable effectiveness? a. Selectively include in the protocol the evidence on which the protocol is based - b. Make the staff aware of the new protocol and communicate the expectation that they will follow it c. Design the protocol to closely adhere to the recommendations of a soundly produced guideline d. Develop a strategic plan to introduce the protocol
When basing an agency clinical protocol on an evidence-based clinical practice guideline, the courses of action is of questionable effectiveness is to Set a standard of care by making the staff aware of the guideline and communicating the expectation that they will follow it.
clinical protocol are prospective human subjects-based biomedical or behavioral research investigations that aim to provide specific answers about biomedical or behavioral treatments. These include both well-known treatments and cutting-edge ones that need additional research and comparison, including novel drugs, vaccinations, dietary options, nutritional supplements, and medical technologies. Clinical trials provide data on dosage, safety, and efficacy. They are only put into practice after receiving clearance from the nation's ethics commission or health authorities, if therapeutic permission is required. These groups are in charge of determining the risk/benefit ratio for the experiment; their approval just indicates that it may proceed without implying that the medication is "safe" or "effective."
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within an infected host, only about 1% of influenza virus particles that are produced are capable of infection. why? the reason is that 99% of particles do not contain:
only about 1% of influenza virus particles that are produced are capable of infection. the reason is that 99% of particles do not contain: C.) many viral particles will be produced that do not contain the required genes to be infectious.
The influenza (Flu) virus. The two primary subtypes of human influenza viruses are A and B. Flu A and B viruses that often transmit among humans are to blame for the annual seasonal flu outbreaks. The genes that make up the surface proteins allow flu A viruses to be divided into sub-types. The Orthomyxoviridae family of viruses includes influenza viruses. This family comprises of encapsulated viruses with segmented negative-sense single-strand RNA as their genome.
within an infected host, only about 1% of influenza virus particles that are produced are capable of infection. why? the reason is that 99% of particles do not contain?
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a patient presents with high fever, fatigue and dyspnea. upon assessment you find tachycardia and tachypnea, labs show leukocytosis and x-ray shows consolidation in the lung. what disease process do you suspect the patient has?
Symptoms of a patient include a high temperature, exhaustion, and dyspnea. Tachycardia, tachypnea, leukocytosis, and lung consolidation are discovered during evaluation. The patient's illness process has pneumonia lobular
Lobar pneumonia is a kind of pneumonia that affects a sizable and continuous area of the lobe of a lung and is characterized by inflammatory exudate inside the intra-alveolar space that causes consolidation.One of the three anatomic types of pneumonia is this one (the other being bronchopneumonia and atypical pneumonia). Instead of developing in children with lobar pneumonia, circular pneumonia occurs as a result of undevelop.
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the symptoms of diphtheria are due to an exotoxin that blocks proteins synthesis in host cells. t or f
The symptoms of diphtheria are due to an exotoxin that blocks proteins synthesis in host cells. The above statement is True.
Corynebacterium diphtheriae is the cause of the acute, contagious sickness known as diphtheria. The bacterium usually grows locally in the pharynx with the creation of pseudomembranes, or, less frequently, in the stomach or lungs. Systemic toxin distribution then causes lesions in other distant organs. The tonsillar zones, larynx, soft palate, uvula, and nasal canals are frequently affected by acute diseases of the upper respiratory tract. The importance of vaccination in preventing sickness in both children and adults was highlighted by a recent pandemic in Russia.
Although the most prevalent location of infection in children is the upper respiratory tract mucosa, localisation of diphtheria in adult patients in a newly reported pandemic that occurred in the former USSR was rare. Unusual locations of infection in adult patients with oral mucosal lesions included the tongue, upper and lower lips, hard and soft palate, and buccal mucosa.
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a pregnant client in the second trimester of pregnancy is admitted to the maternity unit with a suspected diagnosis of abruptio placentae. which finding should the nurse expect to note if this condition is present?
Uterine sensitivity. Abruptio placentae, which occurs after the 20th week of pregnancy but before the foetus is delivered, is the premature rupture of the placenta from the uterine wall.
Abdominal pain that is severe is a symptom of abruptio placentae. Placental abruption is accompanied by uterine pain, especially when the abruption is central and there is trapped blood behind the placenta. Upon palpation, the abdomen feels hard and board-like as the blood permeates the myometrium and irritates the uterus. Placenta previa is characterised by a soft abdomen and painless, bright crimson vaginal bleeding in the second or third trimester of pregnancy.
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a patient is admitted to the hospital with acute thyrotoxicosis. on physical assessment of the patient, what should the nurse expect to find?
The nurse expect to find Elevated temperature and signs of heart failure.
How serious is thyrotoxicosis?If thyrotoxicosis is not adequately diagnosed and treated, it can lead to thromboembolic disease, circulatory collapse, psychosis, altered mental status, bone, joint discomfort, cardiac tamponade, heart problems, and mortality, to name just a few of the serious issues.
What substances lead to thyrotoxicosis?Drugs like interferon, cellular medicines, amiodarone, thyroid function itself, and others can result in thyrotoxicosis. Anti-thyroid medications, lithium and iodine, among other substances that prevent the synthesis and release of thyroid hormones, dopamine, etc. are among those that result in thyroid. Drugs referred to as antithyroid medications can help prevent the thyroid gland from producing too much hormones in cases of Graves' illness or other kinds of hyperthyroidism.
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a patient requests that disclosures made from her medical record be limited to specific clinical notes and reports. given hipaa requirements, how must the hospital respond?
The hospital must accept the request but does not have to agree to it. a patient requests that disclosures made from her medical record be limited to specific clinical notes and reports. given HIPAA requirements,
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a federal law that mandated the development of national standards to guard against the disclosure of sensitive patient health information without the patient's knowledge or consent. For the purpose of enforcing Administrative Simplification, HHS established five rules: the Privacy Rule, the Transactions and Code Sets Rule, the Security Rule, the Unique Identifiers Rule, and the Enforcement Rule. If the topic of the rumour is not a patient with rights under the HIPAA Privacy Rule, it is not a HIPAA violation; even if the person is an employee of a Covered Entity and the rumour pertains to a patient under their care, it is not a violation of HIPAA.
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Prevention efforts that are aimed at a specific subgroup of the population considered at-risk for developing mental health problems are called __________ interventions.
a. tertiary
b. selective
c. universal
d. indicated
the nurse is assigned to assist with caring for a client with abruptio placentae who is experiencing vaginal bleeding. the nurse collects data from the client, knowing that abruptio placentae is accompanied by which additional finding?
The nurse is assigned to assist with caring for a client with abruptio placentae who is experiencing vaginal bleeding. the nurse collects data from the client, knowing that abruptio placentae is accompanied by uterine tenderness on palpation.
The placenta previa or placental abruption is the most common cause of vaginal bleeding in a pregnant client. Abruptio placentae is accompanied by uterine pain, particularly when there is a central abruption and retained blood behind the placenta. On palpation, the abdomen will feel hard and board-like as the blood permeates the myometrium and irritates the uterus. In cases where the client is in labour and the uterine muscle is unable to relax, a persistent tetanic contraction may happen.
So option 2 is the correct answer.
Complete question:
The nurse is assigned to assist with caring for a client with abruptio placentae who is experiencing vaginal bleeding. The nurse collects data from the client, knowing that abruptio placentae is accompanied by which additional findings?
1. soft abdomen on palpation
2. uterine tenderness on palpation
3. no complaints of abdominal pain
4. lack of uterine irritability or tetanic contractions
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Sleep improves the memory consolidation process which may be one reason why distributing practice sessions is more successful than massing practice. t/f
It is true that sleep improves the memory consolidation process which may be one reason why distributing practice sessions is more successful than massing practice.
Since at least the early 19th century, researchers have been examining the connection between sleep and memory. Brain plasticity, the structural changes within synapses that produce associations between stimuli, is a byproduct of memory, the cognitive process of storing and recalling previous experiences, learning, and recognition. While the long-term preservation of memories can take additional minutes, days, or even years to fully consolidate and become a stable memory that is accessible, stimuli are encoded in milliseconds (more resistant to change or interference). As a result, while the creation of a particular memory happens quickly, the development of a memory is frequently an ongoing process.
Hence, sleep provides memory building and processing information.
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a nurse is educating a client who has parkinson's disease and family regarding possible adverse effects of carbidopa-levodopa. the nurse emphasizes which should be a closely monitored effect?
When a nurse is discussing the potential side effects of carbidopa-levodopa with a client who seems to have Parkinson's disease & their family, she underlines that involuntary movements should be a constantly watched impact.
Parkinson's disease, also known as shaking palsy and paralysis agitans, is treated with a carbidopa and levodopa combination. A problem of the brain's central nervous system is Parkinson's disease.
Parkinson's disease is an ongoing ailment that impairs both the nervous system's ability to function and the parts of the body that the nervous system regulates. The symptoms emerge over time. The first symptom could be a small tremor in only 1 hand. Although tremors are common, the illness may also cause stiffness or make you move more slowly.
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TRUE/FALSE. 17. once approved, an emergency operations plan should never be revised, since this would create potential confusion in responding agencies.
The answer is False, hence Once approved, an Emergency Operations Plan should be revised since this would create potential confusion in responding agencies.
An emergency is a situation that necessitates quick action because it endangers the environment, people, or property. The majority of emergencies necessitate an urgent response in order to prevent the sickness from getting worse, even if there are a few unique cases when mitigation may not be possible and organizations may only be able to provide palliative care after an emergency. Many less dangerous circumstances require the observer to determine if they constitute an emergency (or affected party). This is not always the case, even in circumstances where some emergencies are obvious (like a natural disaster that poses a serious threat to many people).
The complete question is:
Once approved, an Emergency Operations Plan should never be revised since this would create potential confusion in responding agencies.
Possible Answers:
a) True
b) False
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Which of the following is NOT a proposed factor associated with the increase in vitamin D deficiency among Americans?
Answer
the decreased consumption of vitamin-D fortified milk products
the increase in the use of sunscreen products
the increase in the rates of obesity, which alters the metabolism and storage of vitamin D
the increased consumption of soft drinks
the increased consumption of soft drinks
Answer:
The increased consumption of soft drinks
Explanation:
The correct answer is d) the increased consumption of soft drinks. While all of the other factors listed (a, b, c, and e) have been proposed as potential causes of the increase in vitamin D deficiency among Americans, there is no evidence to suggest that the consumption of soft drinks has increased. Therefore, it is not a valid explanation for the increase in vitamin D deficiency.
which intervention would the nurse implement to ensure an older adult client's safety when demonstrating mild confusion after surgical repair of an abdominal hernia?
The nurse should activate the position-sensitive bed alarm for the client's safety with mild confusion after the surgical repair of a hernia.
When an internal organ or other body component pushes through the muscle or tissue that surrounds it normally, it develops a hernia. The majority of hernias develop in the abdomen, between the chest and the hips. The spermatic cord and blood arteries going to the testicles pass through the inguinal canal in males. In females, the round ligament that supports the uterus is located in the inguinal canal. Fatty tissue or a portion of the intestine protrudes into the groin at the top of the inner thigh in an inguinal hernia. Femoral hernias, which mostly affect older women, are much less common than inguinal hernias.
Hence, hernia patient should be immobilized to prevent further damage.
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a forest ranger arrives at a community clinic for prophylactic vaccination. which vaccine would be most important to be administered to the ranger?
When a forest ranger visits a neighborhood clinic for prophylactic immunizations, it is crucial that the ranger receive the rabies vaccine.
Who invented the first vaccinations?The first effective vaccine were developed by Dr. Edward Jenner. He discovered that those who had cowpox were resistant to smallpox. Expanding on this findings, English physician William Jenner immunizes 8-year-old James Phipps using material taken from a cowpox sore on a milkmaid's hand in May 1796.
What vaccine means?The vaccine is a substance that boosts the immune system's defenses against disease. Most vaccines are given by needle injection, although some can also be taken by mouth and spray into the nose.
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a 23-year-old man was struck across the face with a baseball bat. his eyes are swollen shut, he has massive facial bruising and deformities, and he has blood in his mouth. your most immediate concern should be:
A 23-year-old man was struck across the face with a baseball bat. his eyes are swollen shut, he has massive facial bruising and deformities, and he has blood in his mouth. your most immediate concern should be:Airway compromise.
Some people may suddenly get more bruises than usual, or they may develop abrupt, inexplicable bruising or blood patches under the skin. This might result from: a drug, such as blood thinners or aspirin (anticoagulants). a disease that results in the accumulation of toxins in the blood or tissues (sepsis).
When blood isn't clotting properly, bleeding may be more severe or last longer than usual. A bruise develops whenever this blood is unable to escape from under the skin's surface. Von Willebrand disease can cause tiny, perhaps even undetectable injuries to result in lumpy or massive bruises.
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select all that apply what are some strategies that caregivers may use to reduce the development of dental caries and other related dental problems during childhood?
Seek early dental care, Drink fluoridated water, Limit intake of sticky, sugary foods are some strategies that caregivers may use to reduce the development of dental caries and other related dental problems during childhood.
The best amount of fluoride for avoiding tooth decay is 0.7 parts per million (ppm), or 0.7 milligrammes of fluoride per litre of water; this level is achieved by the procedure of water fluoridation. In most circumstances, your water system can notify you about the fluoride content of your drinking water. It will explain drinking water quality, including fluoride levels, if your water utility is obliged to publish a yearly Consumer Confidence Report.
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the nurse and the unlicensed assistive personnel (uap) are caring for a client who is sedated and mechanically ventilated with an oral endotracheal tube. which action by the uap requires the nurse to intervene?
The UAP action are As directed, give regular dental care.
The client on mechanical ventilation requires routine oral care, which the UAP can perform. The nurse is within the range of her profession when performing the other tasks.
Unlicensed assistive personnel are paraprofessionals who provide assistance to those with physical disabilities, cognitive decline, and other health needs that affect their everyday lives. Patient care depends heavily on UAPs (those who serve others, patient-care technicians, and certified nursing assistants).
UAP provides direct interest subjects on maintaining personal hygiene, checking vital signs, supplementing, moving, and using the restroom, as well as keeping track of patients' cognition and blood sugar levels. A bedpan, also known as a bed pan, is a container that is often made of porcelain, mineral, or flexible and is used to preserve a patient's health. For both polluted and urogenital discharge, a bedpan can be used.
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fifty-year-old denise complains of nausea and fatigue, and her doctor notes a sharp decrease in estrogen levels. what is mostlikely happening to denise
Due to the menopausal state the denise feels nausea and fatigue and the low levels of estrogen in her boby.
What is estrogen ?
Estrogen, often known as oestrogen, is a sex hormone that is important for the development and control of the female reproductive system as well as secondary sex characteristics. Estrone (E1), estradiol (E2), and estriol (E3) are the three primary endogenous estrogens with estrogenic hormonal action (E3). Estradiol, an estrane, is the most powerful and common. Another oestrogen, estetrol (E4), is only generated during pregnancy.
All vertebrates and certain insects manufacture estrogens. The prevalence of estrogenic sex hormones in both vertebrates and insects shows that they have a long evolutionary history. In both men and women, estrogens circulate at lower quantities than androgens. While guys have substantially lower oestrogen levels than females, estrogens nonetheless play vital physiological roles in males.
Due to the menopausal state the denise feels nausea and fatigue and the low levels of estrogen in her boby.
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the nursing student correctly identifies the transmitter in the cholinergic neuropathways that appears insufficient in clients with alzheimer's disease is which?
When someone initially starts taking these medications, potential side effects are more likely, although they frequently Acetylcholine over time.
Diarrhea, nausea, vomiting, muscular cramps, reduced blood pressure, sleeplessness, exhaustion, and appetite loss are the adverse effects that are most likely to occur. Neurotransmitters are the substances that nerve cells in the brain release to communicate with one another. The neurotransmitter acetylcholine is crucial for memory. Acetylcholine levels in the brain of those who have Alzheimer's disease are low. Acetylcholine is broken down in the brain by cholinesterases. If their activity is reduced, there will be more acetylcholine accessible for brain cell communication.
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a 50-year-old man reports severe pain to both upper abdominal quadrants. he states that the pain moves to his back and that he is nauseated and has been running a fever. his wife advises that he does not take care of himself and that he drinks a lot of alcohol. what should you suspect?
Answer:
pancreatitis
Explanation:
When digestion enzymes that are remaining in the pancreas get activated, it irritates the pancreatic cells and results in inflammation. Acute pancreatitis can damage the pancreatic over time, which can result in chronic pancreatitis.
a patient confides in the nurse that she is in menopause and that she does not want to take hormone replacement therapy because she has a family history of breast cancer. she tells the nurse she is taking soy, calcium, and a vitamin as an alternative therapy. what would the nurse advise the patient to do?
The nurse advise the patient to do Stop giving her the calcium supplement.
The patient can receive nursing advice to stop using a calcium supplement. Products containing calcium, iron, or zinc may lessen the effects of estrogen. If osteoporosis is a worry, the patient may have to consider if it would be better for her to continue the calcium and stop the soy. In order to maintain health, especially for a menopausal woman, it is important to reduce the amount of carbohydrates in the diet and to walk 2 miles each day. However, using soy as an alternative treatment for menopause symptoms and signs is unrelated to these recommendations.
Menopause
A woman's natural fall in estrogen levels as she enters her 40s or 50s.One year has passed since the last period, which is the indicator of menopause. Hot flashes and vaginal dryness are typical symptoms. There can also be sleep problems. These symptoms taken together can result in anxiety or depression.
Treatments for menopause, which is a natural process, concentrate on symptomatic relief. Topical lubricants or estrogen are used to alleviate vaginal dryness. The intensity and frequency of hot flushes can be lessened with medication. Oral hormone therapy may be employed in unique situations.
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while assisting a paramedic in the attempted resuscitation of a 55-year-old male in cardiac arrest, you should expect the paramedic to:
Expect the paramedic to administer drugs via the IV route to achieve the fastest effect.
What do paramedics actually do?
Respond to 911 requests for emergency medical assistance by doing CPR or applying bandages to wounds. Choose a therapy strategy after determining the patient's condition. Give those who are ill or injured first aid care or life support services. Carefully carry patients in an ambulance.
Is being an EMT difficult?
Programs to become an EMT or paramedic are demanding and time-consuming because they prepare you for a crucial career. You must be willing to put in the effort and master certain abilities for the job. It is impossible to become a paramedic by merely reading a book or doing a few months of school.
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a client with right-sided heart failure is admitted to the medical-surgical unit. what information obtained from the client may indicate the presence of edema?
Capillaries, which are tiny blood veins in your body, can leak fluid and cause edema. In the surrounding tissues, the fluid accumulates and causes swelling. Long periods of sitting or remaining in one posture might cause mild episodes of edema. eating foods that are too salty.
Edema can be brought on by medications, pregnancy, infections, and a host of other medical conditions. When your small blood vessels leak fluid into the surrounding tissues, edoema results. The additional fluid accumulates, causing the tissue to expand. Almost anyplace in the body can experience it.How dangerous is edema?
Picture of an edoema
If you develop edoema or swelling in your body, it's crucial to visit your doctor. Your skin may stretch as a result of edema, and if it is left untreated, swelling may worsen and pose a major risk to your health. Depending on the etiology, edoema can be a short- or long-term condition.
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which is the most reliable birth control method for the nurse to recommend to a client with type 1 diabetes?
The most reliable birth control method for the nurse to recommend to a client with type 1 diabetes is the diaphragm with spermicidal gel.
A diaphragm is a type of birth control that resembles a little saucer and is composed of soft silicone. It is folded in half and inserted into the vagina to conceal the cervix. An effective contraceptive is a diaphragm. It serves as a physical barrier over your cervix, preventing sperm from attaching to an egg.
A diaphragm should be used in conjunction with spermicide for optimal results (cream or gel that kills sperm). Chemicals in spermicide prevent sperm from migrating, preventing them from reaching an egg. The spermicide is kept in a position close to your cervix by the diaphragm.
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if you are doing an ultrasound of the abdomen and have the probe directed cranially toward the diaphragm, which type of artifact would you expect to see?
If you are performing an abdominal ultrasound while cranially pointing the probe at the diaphragm The mirror picture you anticipate seeing
Do you have a diaphragm?A diaphragm is present in all mammals, including humans. We cannot survive without one, and it is a vital component of the body. A person takes 23,000 breaths every day using their diaphragm, which means that if they lived to be 80 they would have taken around 673,000,000 breaths!
How come they stopped producing diaphragms?Compared to IUDs or the birth control pill, diaphragms are less effective. Because they are less successful at preventing an unexpected pregnancy than more widely used birth control options like with the pill and IUD, diaphragms have been replaced. Diaphragms are 88% effective when combined with spermicide.
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a client has come to the clinic requesting a hepatitis a and b vaccination before leaving on a tropical vacation. after assessing the client, the nurse should prioritize what finding to communicate to the provider?
The nurse should make it a priority to inform the provider that the client takes corticosteroids to treat rheumatoid arthritis.
Steroids can be directly injected into a joint, administered intramuscularly or intravenously, or taken orally. Steroids significantly reduce joint edema and soreness and fast alleviate RA symptoms including pain and stiffness. The most common treatment for RA, which significantly impairs a person's ability to carry out daily tasks, is the use of steroids.
Joint linings are impacted by rheumatoid arthritis, which results in painful swelling. Rheumatoid arthritis-related inflammation can result in joint deformity and bone degradation over an extended period.
Rheumatoid arthritis has no known cure, however, physiotherapy and medicines can reduce the disease's course.
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The question is -
A client has come to the clinic requesting a hepatitis A and B vaccination before leaving on a tropical vacation. After assessing the client, the nurse should prioritize what finding to communicate to the provider.
-The client uses marijuana two to three times per month
-The client received the annual influenza vaccine seven days ago
-The client has type two diabetes that is controlled by diet
-The client takes corticosteroids to treat rheumatoid arthritis
the nurse assesses the neurovascular status of a client who had surgery to repair a fractured hip. which assessment data for the affected leg indicates that the client has developed a neurologic complication?
The client has acquired a neurologic consequence that is tingling sensations, according to the evaluation data for the afflicted leg, the nurse evaluates the neurovascular state of a patient who underwent surgery to repair a broken hip.
Patients may have diminished feeling, lack of sensation, dysesthesia, neuropathy, tingling, or needle-like sensations if the neurovascular condition is disturbed. In the patient's endovascular assessment flowsheet in the EMR, it should be noted that a nerve block, as well as an epidural, may have affected the patient's feelings.
Check to see if the pain is out of proportion to the damage. Pain will arise from any impairment to neurovascular status owing to damaged sensory nerves and reduced blood flow.
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label the superficial forearm muscles and aponeurosis (anterior view) by clicking and dragging the labels to the correct location.
The forearm muscles located in the superficial layer of the anterior compartment include the brachioradialis, flexor carpi radialis, pronator teres, and palmaris longus.
What purpose does an aponeurosis serve?
Aponeuroses, which are extensions of the external tendons on the surface of pennate muscles, serve as the insertion points for muscular fascicles and may be able to control the rotation of the fascicles and the dynamic gearing that occurs when the muscles contract.
What distinguishes an aponeurosis from a tendon?
A tendon looks extremely different from an aponeurosis. There are layers of tiny, thin sheaths that make up an aponeurosis. Tendons, on the other hand, resemble tough ropes. An aponeurosis' resilience comes from the fact that it is predominantly composed of bundles of collagen fibers that are dispersed in predictable parallel patterns
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the student nurse is preparing a teaching plan for a client being discharged status post mi. what should the nurse include in the teaching plan? select all that apply.