A 19-year-old woman presents with worsening headaches. she reports a multi-year history of episodic throbbing headaches. Treatment approach should include providing treatment for acute headache, some prophylactic treatments, such as administration of topiramate.
what is throbbing headaches ?A throbbing headache is a common medical condition where blood rushes to the affected area of the head and Throbbing results from the dilation of the blood vessels from the increased blood flow.
Throbbing is a pulsing sensation which can come and go quickly in a frequent manner, some headaches can be a serious which causes stroke, a brain tumor, or meningitis, so that important to consult with a doctor if you have regular or painful headaches
Some important headaches are Occipital neuralgia which is a condition results from damaged nerves from the spinal cord to the scalp, a sharp, aching, or throbbing pain that starts at the base of the head and moves toward the scalp.
Throbbing headache can also arise at top of head where migraines can cause nausea, vomiting, or increased sensitivity to light or sound.
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the bilateral lower extremities are diffusely tender to palpation with mottling of the skin. rpaid stretococcal and influenza testing are negative uworld
The bilateral lower extremities are diffusing tender till palpation with mottling of the skin. Rapid streptococcal and influenza testing have negative results. For this, the first step would be to test the Throat culture (GAS pharyngitis should always be confirmed).
What is bilateral lower extremity edema?Bilateral lower extremity edema can happen even with normal variants of the anterior cerebral artery.
It is basically the progressive swelling of lymphedema with pitting at onset and then advancing to the classic firm, nom-pitting edema.
The lower extremity includes the part of the body that contains the leg, ankle, and foot. So bilateral lower extremity edema results in swelling of the feet and extends upward because of the existence of fluid in the lower extremity.
The diagnosis of bilateral lower extremity edema includes various differential diagnoses such as venous thrombosis, nephrotic syndrome, hypothyroid myxedema, venous insufficiency, etc.
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a client who had thoracic surgery is admitted to the postanesthesia care unit. what should the nurse do after the chest tube is attached to a disposable plastic water-seal drainage system?
a client who had thoracic surgery is admitted to the postanesthesia care unit. The nurse should Ensure the security of the connections from the client to the drainage unit.
On what thoracic surgery focuses ?The goal of thoracic surgery is to treat problems with the esophagus, lungs, mediastinum (the space between the lungs), trachea, and diaphragm in the thorax (chest) region of the body. The following conditions are treated by thoracic surgeons: tumors on the chest wall pulmonary fibrosis, emphysema, and other advanced lung conditions.
The most frequent procedures include VATS lobectomy, VATS wedge resection, VATS decortication, laparoscopic paraesophageal hernia repair, Ivor-Lewis esophagectomy (open or minimally invasive), mediastinoscopy with or without biopsy, and laparoscopic Nissen fundoplication.
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assessing the usability of wearable devices to measure gait and physical activity in chronic conditions: a systematic review
The necessity of patient involvement is emphasized in the worldwide plan for digital health developed by the World Health Organization. A key part of this is comprehending the usefulness and acceptability of wearable technology.
However, up until now, the majority of usability tests have been on healthy individuals. Understanding how wearable technology affects patients with chronic health issues is important.In five cohorts of people with chronic conditions (Parkinson's disease [PD], multiple sclerosis [MS], congestive heart failure [CHF], chronic obstructive pulmonary disorder [COPD], and proximal femoral fracture [PFF]), usability assessments of wearable devices were used to measure mobility through gait and physical activity.Usability of wearable technology is a variable in chronic health disorders that is poorly studied and reported. The voice of the patient should not be taken for granted, despite the fact that the variety in how these devices are applied suggests approval.Wearable technology is not successful in chronic health disorders.
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a client asks the nurse what is causing the fatigue following radiotherapy. what is the nurse's best response?
The disease and treatment can cause you to be like this is the nurse's best response when a client asks the nurse what is causing the fatigue following radiotherapy.
For radiotherapy, high doses of radiation is used to kill cancer cells and shrink tumors and is a cancer treatment. Side effects of radiotherapy include sore skin, tiredness, hair loss, stiff joint and muscles etc.
Cancer cells in radiotherapy are killed by damaging their DNA while the therapy does not cause pain while being given, a few of its side effect may cause pain and discomfort.
Patients feel fatigued a lot of the time or become tired very easily from doing everyday activities having radiotherapy. This may even last a few weeks or months even after the treatment has ended. The perfect solution to is to get plenty of rest.
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physician impairment and rehabilitation: reintegration into medical practice while ensuring patient safety: a position paper from the american college of physicians
Physician impairment and rehabilitation, reintegration into medical practice while ensuring patient safety: a position paper from the American college of physicians, the statement is correct.
What is physician impairment ?Physician impairment is the condition of inability to carry out patient care responsibilities safely and effectively and it is due to the problem in functioning of physician.
The American College of Physicians examine the professional duties and principles of the professional to physician impairment, where the physician should be rehabilitated and reintegrated into medical practice.
Sometimes the physicians seek help when they are unable to provide safe care to the patients and Health care institutions and the profession also support practice environments in which patient safety is the major concern and physician wellness.
Some Physician health programs will be committed to best practices that safeguard patient safety and the rights of physician-patients.
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a client being treated for hypertension reports having a persistent hacking cough. what class of antihypertensive should the nurse identify as a possible cause of this response when reviewing a list of this client's medications?
ACE inhibitors is the class of antihypertensive should the nurse identify as a possible cause of the response.
Medications called angiotensin-converting enzyme (ACE) inhibitors aid in blood pressure reduction by relaxing the veins and arteries. An enzyme in the body that produces angiotensin II, a chemical that constricts blood arteries, is prevented from doing so by ACE inhibitors.
An ACE cough is a frequent side effect that is commonly referred to as an ACE cough since ACE (angiotensin-converting enzyme) makes the cough reflex more sensitive.
ACE inhibitors are widely accessible. The one that is ideal for you will depend on a variety of factors, such as your general health and pre-existing diseases. An ACE inhibitor, for instance, may be advantageous for those with chronic renal disease.
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Question correction:
A client being treated for hypertension reports having a persistent hacking cough. What class of antihypertensive should the nurse identify as a possible cause of this response when reviewing a list of this client's medications?
1. ACE inhibitors
2. Thiazide diuretics
3. Calcium channel blockers
4. Angiotensin receptor blockers.
the primary health care provider prescribes daily fasting blood glucose levels for a client with diabetes mellitus. which is the goal of fasting glucose levels for a cloent with diabetes mellitus
Answer:
A glucose level between 70 to 105 mg/dL
Explanation:
Energy expended that does not come from basic ongoing body functions (such as digesting food) or planned exercise is categorized as?
a nurse is planning to insert a peripheral iv catheter for an older adult client. which of the followin
A nurse is planning to insert a peripheral iv catheter for an older adult client, the action in which the nurse should plan to take is to position the client's arm in the dependent position.
What is a Peripheral iv catheter?This refers to a small, short plastic catheter which is inserted into the skin through the vein and is used to provide fluids and drugs to the body especially when one is ill.
This is usually fixed to a patient's arm and often times in the head region at an angle of fifteen to thirty degrees with the use of adhesives and attached to a drip which is hanged and slowly releases its content.
The nurse should take the client's arm in the dependent position as it reduces the risk of the vein being distended due to gravity thereby eliminating complications and encouraging adequate recovery of the patient.
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what is the best nursing intervention during the working phase of the therapeutic relationship with which to meet the needs of individuals who demonstrate obsessive-compulsive behavior?
The best nursing intervention during the working phase of the therapeutic relationship with which to meet the needs of individuals who demonstrate obsessive-compulsive behavior is: supporting their habits while setting realistic limits.
Obsessive-compulsive behavior is the mental state of a person where he/she needs to repeat certain behaviors again and again. These behaviors can be as strange and at the same time dangerous as well. People can have obsession of shopping, cleaning, exercising, etc.
Therapeutic relationship is the relation between the patient/client and the healthcare professional. It requires trust upon each other and supporting so that better care can be provided.
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vaginal discharge, pain in the llq and rlq, dysmenorrhea, and a gonococcal infection; likely diagnosis: group of answer choices
The pelvic inflammatory disease may be diagnosed based on vulva sludge, discomfort in the LLQ and RLQ, dysmenorrhea, and gonococcal infection (PID).
An infection of the female reproductive system is known as a pelvic inflammatory disease (PID). It usually happens when bacteria from sex-related sexual contact spreads from your vulva to your uterus, fallopian tubes, or ovaries.
The pelvic inflammatory disease might present with moderate or modest signs and symptoms. Some women have no symptoms or indicators at all. Because of this, you might not be aware of it until you have difficulties getting pregnant or start experiencing persistent pelvic pain. Sexually transmitted infections (STIs) including gonorrhea, chlamydia, or mycoplasma genitalium are the major cause of PID. The diagnosis of the pelvic inflammatory disease cannot be made by a single test (PID). Your symptoms and results of a gynecological exam are used to diagnose it.
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van beek m, geurts j, slangen r, et al. severity of neuropathy is associated with long-term spinal cord stimulation outcome in painful diabetic peripheral neuropathy: five-year follow-up of a prospective two-center clinical trial. diabetes care. 2018;41:32–38.
Up to 5 years after the start of treatment, SCS is effective in helping patients with PDPN manage their lower extremity chronic pain symptoms. In addition, after 5 years, 80% of PDPN patients are still using their SCS device. Additionally, a 5-year follow-up shows that the severity of neuropathy is linked to a higher risk of long-term treatment failure.
Describe neuropathy:Neuropathy is characterized by harm to or dysfunction of one or more nerves, and the most typical symptoms include pain, numbness, tingling, and weakening in the affected muscles. Although they can affect other areas of your body as well, neuropathies frequently start in your hands and feet.
What are neuropathy's four stages?Neuropathy's stages:
Stage 1: Numbness and pain.
Stage 2: Persistent pain
Stage 3: Severe Pain.
Stage 4: Total numbness/loss of sensation.
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a new nurse leader has the opportunity to delegate to a member of the staff. what criteria should the nurse leader be sure are followed before doing this? (select all that apply.)
The criteria that the nurse leader should be allowed to follow before doing this
The right taskThe right personThe right communicationThe right level of supervisionThe right circumstanceWho is a nurse?It should be noted that the International Council of Nurses (ICN) defines a nurse as a person who has finished a basic, generalist nursing education program and is qualified to practice nursing in his or her country.
It should be noted that this since the person is new, it's important for the nurse to choose the right person for the roles. It's also important for the nurse to choose the right task that will fit each person.
Also, the right channel of communication should be used.
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what should the nurse tell a client who is about to begin chemotherapy and is anxious about hair loss?
A client is about to begin chemotherapy and is anxious about hair loss. the nurse should consider getting a wig or cap prior to beginning the treatment.
Who are nurses?A nurse is a person who works in the hospital and taking care of patients. they are specially trained to give perfect care and treatment to the people who are sick and injured.
They work with the doctors and other healthcare workers to make patients well and keep them healthy.
Nursing is a profession like doctors but training for nurses is different.
What is chemotherapy?It is one of treatment method of cancer.
In this method strong chemicals are used to kill the cancerous cells and isolate these cells from other organs.
Chemotherapy is a systematic medication.
Chemotherapy goes through the whole body, so during it's action, the healthy cells also comes in contact to chemical drugs. this results in damage of healthy cells. so it has side-effects also like hair loss and nausea.
Chemotherapy doses depends on the factors like weight of the body, stage of the cancer, age, type of cancer, etc.
There are several ways of giving chemotherapy to a patient like intravenous chemotherapy, oral chemotherapy, injectable, direct to the artery.
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studies shows that "crack babies" who are entering school have significant difficulty dealing with multiple stimuli and forming close attachments. how might both genetic and environmental influences have combined to produce these results?
studies shows that "crack babies" who are entering school have significant difficulty dealing with multiple stimuli and forming close attachments. how might both genetic and environmental influences have combined to produce these results?
when looking at food labels, you should look for food with no more than 10 percent of its calories from fats and no more than 30 percent from added sugar.
The statement 'when looking at food labels, you should look for food with no more than 10 percent of its calories from fats and no more than 30 percent from added sugar' is true.
What are calories?The term calories could be said to mean the unit that could be used to describe the energy that people get from food. It is used to quantify the amount of energy in food. Not all calories are regarded as good thus we need to b careful with the food we eat.
Hence, it is a true statement that; when looking at food labels, you should look for food with no more than 10 percent of its calories from fats and no more than 30 percent from added sugar.
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Missing parts;
True or false; when looking at food labels, you should look for food with no more than 10 percent of its calories from fats and no more than 30 percent from added sugar.
the nurse is assessing a client's response to sleeping pills and notes continued restlessness and inability to sleep. after an increased dose leads to sleep, which factor should the nurse investigate first?\
"Is the client now tolerant to the drug?" is the factor that the nurse should investigate first for a client who's response after an increased dose leads to sleep when taking sleeping pills and notes continued restlessness and inability to sleep.
If using sleeping drugs doesn't help you fall asleep, several guidelines suggest doctors to rethink their approach. Although they probably have looked for all of these things, they might want to do so again to make sure you don't have any habits, take any other drugs, or have any other health issues that might be keeping you up at night.
The appropriateness of your sleep drug dosage may also be checked by the doctor. The doctor may want to check your expectations for the sleeping drugs to make sure they are reasonable. So the best thing that the nurse/doctor should do is to investigate if the client is sleeping pill tolerant.
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the patient asks about several different smoking cessation methods. when considering the transtheoretical model, in which stage of change is the patient currently in?
The fact that the patient asks about several different smoking cessation methods means that the patient is currently in the preparation stage.
What is smoking cessation?The process of breaking the habit of smoking is referred to as smoking cessation. Smoking tobacco or cigarettes has various negative health impacts on the body, mostly because they contain a lot of nicotine and are therefore very addictive.
The patient has entered the planning stage after they decide that quitting smoking will be beneficial and will provide more benefits than pleasure. Now is the time to talk about other nicotine replacement therapies, potential bupropion use, and the importance of family and social support. The doctor ought to assist the patient in creating a detailed plan for quitting smoking.
In conclusion, the patient is on the preparation stage.
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a nurse is reviewing immunizations with a parent of an infant. how should the nurse respond when the parent asks, "which immunizations should be given at the 12- month checkup
A nurse is reviewing immunizations with a parent of an infant. how should the nurse respond when the parent asks, the immunizations should be given at the 12- month checkup are as following :
Measles
mumps
rubella (MMR) (1st dose)
Polio (IPV) (3rd dose)
Pneumococcal disease (PCV) (4th dose)
Hepatitis A (Hep A) (1st dose)
The above written are the vaccinations that need to be given to 12 months infants.
What is immunization ?It is the process in which the body prepares the antibodies against the antigen exposure. The process deals with the immunity that are created inside the body.
The first vaccinations that are given to the babies first are rabies, measles and mumps. The vaccination these exposed are the vaccines that need to be corporate are because these immunity makes the baby a little immune to these diseases.
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a nurse is teaching a health class about human immunodeficiency virus (hiv). which basic methods are used to reduce the incidence of hiv transmission? select all that apply.
The methods are used to reduce the incidence of hiv transmission are Rinse and wash contaminated clothing separately,Dispose of contaminated articles in a sealed plastic bag and place in the trash, and Dispose of sharp objects by using a red biohazard container if available. Thus, option 3rd, 4th, and 5th is correct.
What is HIV ?Human Immunodeficiency Virus is the causative organism that causes AIDS Acquired Immunodeficiency Syndrome which is a serious disease which destroys the immunity system of the patient and day by day the patient looses his immunity and unable to fight from any infection or disease.
Dispose of contaminated articles in a sealed plastic bag and place in the trash,Dispose of sharp objects by using a red biohazard container if available.Use a disinfectant wash cloth to clean the refrigerator.Rinse and wash contaminated clothing separately,Dispose of contaminated articles in a sealed plastic bag and place in the trash,Dispose of sharp objects by using a red biohazard container if available are the ways to get yourself away from AIDS.
Therefore,The methods are used to reduce the incidence of hiv transmission are Rinse and wash contaminated clothing separately,Dispose of contaminated articles in a sealed plastic bag and place in the trash, and Dispose of sharp objects by using a red biohazard container if available. Thus, option 3rd, 4th, and 5th is correct.
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Your question is incomplete, probably the complete question/missing part is:
a nurse is teaching a health class about human immunodeficiency virus (hiv). which basic methods are used to reduce the incidence of hiv transmission? select all that apply.
2.Use a disinfectant wash cloth to clean the refrigerator
3.Rinse and wash contaminated clothing separately
4.Dispose of contaminated articles in a sealed plastic bag and place in the trash
5.Dispose of sharp objects by using a red biohazard container if available
if a patient has an ivc diameter less than two centimeters and upon inspiring the patient’s ivc walls collapse greater than 50 percent, the patient has a central venous pressure of less than 10 cm h2o.
During inspiration, a diameter decrease of the inferior vena cava (IVC) of 50% or more has been seen as a marker of normal central venous pressure.
What is the vena cava?
Large veins that convey deoxygenated blood to your heart so it may receive oxygen are called the superior vena cava and inferior vena cava. The biggest vein in your body, the inferior vena cava, returns oxygen-depleted blood from the lower half of your body to your heart (below your diaphragm).
Your heart receives oxygen-poor blood from your upper body through your superior vena cava, your second-largest vein. The vital job of the superior and inferior vena cava is to transport oxygen-poor blood to the right atrium of the heart, where it passes into the right ventricle and then travels to the lungs (through the pulmonary artery) to exchange carbon dioxide for oxygen.
Blood that has been oxygenated returns to the left atrium of your heart via your pulmonary veins. Blood that is now carrying brand-new oxygen then travels to your left ventricle and aorta before being distributed throughout your body.
Therefore, a diameter decrease of the inferior vena cava (IVC) of 50% or more is a marker of normal central venous pressure.
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at 1130 hrs, your patient has 150 ml left in his iv bag. it is infusing at 30 gtt/min. drop factor is 15 gtt/ml. do you have enough iv solution left to go to lunch (30 min) now, without changing the iv bag?
According to the given statement the time required 15 minutes after getting back from lunch.
Time calculation as defined:Time goes by very swiftly as things continue to change minute by minute.
To calculate time, use the time equation t = d/s, which asserts that duration is equal to length divided by speed.
According to the given statement:30 gtt/min
(Medication given)
× 1 ml/15 gtt
(I.V. tubing drop factor)
2 ml / minute
(flow rate in minutes), or
2 ml / minute multiplied by 60 minutes equals one hour.
converting factor
120 ml / hour
(flow Rate in hours)
Do you have enough IV solution left to last through a 30-minute meal without having to change your IV bag?1 hour is equal to 1130 hours plus 30 minutes.
The amount of fluid remaining in the IV bag after one hour, at midday, will be 150 ml - 120 ml = 30 ml.
Answer:
Yes,
You can go without changing the IV bag for lunch.
Minutes will it take to change the iv bag:150 ml
(Amount to Infuse)
x 1 minute/2 ml
(Flow rate)
=
75 minutes
(time to infuse), or
15 minutes after getting back from lunch.
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the greatest improvements in flexibility occur as the result of stretching as a part of warm-up for cardiorespiratory and resistance training programs.
The greatest improvements in flexibility occur as the result of stretching as a part of a warm-up for cardiorespiratory and resistance training programs.
1)False
Cardiorespiratory fitness (CRF), though influenced by a number of unchangeable variables, including gender, age, and genetics, has gained attention in recent years as an objective measure of physical activity and a tool for evaluating the connection between physical activity and health status [30,31]. As a result, correlations between CRF and indices of abdominal obesity may hint at a link between physical activity and abdominal obesity. The results of research that took precise measurements of VAT are particularly significant. The early investigation on the topic found that VAT was not correlated significantly with CRF, only with the quantity of total abdominal adipose tissue and SAT [32].
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a client begins escitalopram for treatment of a depressive episode. on the fifth day, the client refuses the medication, stating, ‘it doesn’t help, so what's the use of taking it> which is the best response by the nurse?
"There is no need for the nurse to notify the health care provider yet." is the best response by the nurse for a client that begins escitalopram for treatment of a depressive episode.
Typically, it takes one to four weeks for escitalopram to reach a therapeutic blood level (Lexapro). It's too long—six to eight weeks. The patient requires longer time, not a higher dosage, to see a medication's effects.
A selective serotonin reuptake inhibitor (SSRI) called escitalopram is used to treat anxiety and major depressive disorder (MDD). This medication inhibits the transport of human serotonin in a highly powerful, dose-dependent manner.
This medication increases the action of serotonin in the central nervous system by preventing its reuptake into presynaptic nerve ends. Additionally, escitalopram exhibits allosteric action. Additionally, there is little chance that it will interact with other medications.
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How do antibody tests allow scientists to target & id specific disease agents? explain, discussing immune response.
Answer:
because it does just look up the answer on Goo Gle
Explanation:
the answer is above
the primary objective of the study on the efficacy of nosocomial infection control (senic) was to determine whether infection surveillance and control programs have reduced the rates of nosocomial (hospital-acquired) infection in united states hospitals
The Center for Disease Control launched a nationwide study to assess infection control strategies in 1974 as nosocomial infections started to become a severe issue in US hospitals. The Study on the Efficacy of Nosocomial Infection Control, or SENIC Initiative, is a three-phased project that was created with three main goals in mind: To ascertain whether (and if so, to what extent) the adoption of infection surveillance and control programs (ISCPs) has reduced the rate of nosocomial infection, To describe the current status of ISCPs and infection rates, and To illustrate the relationships between characteristics of hospitals and patients, components of ISCPs, and changes in the infection rate. Following the completion of data collection in a nationally representative sample of hospitals, analysis is being conducted to pinpoint infection control strategies that are most successful while costing hospitals the least amount of money, as well as to identify additional specific questions that need to be addressed by future research.
What exactly is an infection?An infection happens when bacteria enter the body, grow, and cause the body to react. Three events are necessary for an infection to occur: Source: Infectious (germ) agent habitats (e.g., sinks, surfaces, human skin) a susceptible individual who serves as a germ entrance point.
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which combination of foods should the nurse encourage a child with glomerulonephritis to choose for a meal?
Corn, roast chicken, peach combination of foods should the nurse encourage a child with glomerulonephritis to choose for a meal.
GlomerulonephritisGlomerulonephritis is an infection and damage to the kidneys' filtering system (glomerulus). It may start out slowly or develop more quickly. The urine does not effectively filter toxins, metabolic wastes, or excess fluid. Instead, they cause the body to enlarge and get exhausted as they accumulate.
What causes acute glomerulonephritis?Infections like strep throat may be to blame for the acute sickness. Other conditions such as polyarteritis nodosa, Goodpasture's syndrome, Wegener's disease, and lupus may also be to blame. Kidney failure can be avoided with early detection and appropriate treatment.
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In your opinion , what is the relationship between the agri-food industry and the health care system ?
The relationship between the agri-food industry and the health care system in my opinion is that the quality of food produce has a direct effect on the quality of our healthy living.
What is meant by agri-food industry?Agri-food industry is a kind of agricultural industry which is concerned with the commercial production of food substances both in raw and processed form. The development of agri-food industries has really helped many nations, countries, regions or individual to feed on a particular preference of food.
So therefore, the relationship between the agri-food industry and the health care system in my opinion is that the quality of food produce has a direct effect on the quality of our healthy living.
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which medication reduces aldosterone-induced retention of sodium and water when prescribed for the treatment of heart failure?
The medication which reduces aldosterone-induced retention of sodium and water when prescribed for the treatment of heart failure is referred to as Spironolactone.
What is Spironolactone?
This is a type of medication which is used to treat illnesses related to the cardiovascular system. It has been proven effective for the treatment of high blood pressure and heart failure.
Spironolactone functions by blocking the effects of the hormone known as aldosterone which is the hormone responsible for the salt and water balance in the body system on arteriolar smooth muscles.
It prevents the body cells from absorbing too much salt or potassium thereby resulting in the treatment of fluid build up in the heart as a result of this.
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a nurse is caring for a client after a thyroidectomy. with concerns of nerve injury, what functional ability should the client be assessed for?
A nurse is caring for a client after a thyroidectomy. with concerns of nerve injury, the client should be assessed for speaking.
Condition of thyroidectomy :The surgical removal of all or a portion of your thyroid gland is known as a thyroidectomy. The butterfly-shaped thyroid gland is situated in the front of your neck. It produces hormones that regulate every aspect of your metabolism, including how quickly calories are burned and your heart rate.
A thyroidectomy is a treatment for a number of thyroid gland disorders. A thyroidectomy is a routine but significant procedure with significant risks and potential side effects. The patient may have access to less invasive therapy options.
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