The short-term use of opioids by a client with pain is unique for the development of physical tolerance. Opioids, which include codeine, oxycodone, morphine, meperidine (Demerol®), and hydrocodone, are frequently used to treat pain.
Once an accurate assessment of pain has been made, pain management techniques must be chosen to encourage the greatest possible pain reduction. Analgesics, opioids, and anesthetics are a few pharmacological methods that can be used to treat the client's pain. Physiological alternatives include techniques for transcutaneous stimulation, posture adjustments, and the use of acupuncture or acupressure locations. The strategy might also include behavioral interventions such as counseling, relaxation techniques, guided imagery, and client preferences. The plan of care may incorporate both conventional medical treatments and nontraditional, cultural, or religious elements that have been identified by the patient or the caregiver. Instead of using an all-or-nothing strategy when establishing the plan of care, it is crucial to integrate both conventional and unconventional interventions for the best alleviation.
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an 80-year-old patient who is overweight andsedentary has developed elevated fastingglucose levels (142, 153, and 147 mg/dl). shewas diagnosed with diabetes today.considering her age, how should the nursepractitioner proceed
The nurse practitioner would proceed with start metformin 500 mg daily.
To treat high blood sugar, metformin is taken along with a healthy diet, an exercise routine, and maybe other drugs. Patients with type 2 diabetes use it. Keeping blood sugar levels under control helps prevent kidney damage, blindness, nerve damage, limb loss, and issues with sexual function. The chance of having a heart attack or stroke may be reduced if your diabetes is well controlled.
The way that metformin works is by assisting in restoring your body's appropriate reaction to the insulin that must naturally make. Additionally, it reduces how much sugar the liver produces and how much sugar your stomach and intestines absorb.
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a patient is sent to a general surgeon by her family physician for an opinion and recommendation for surgical repair of a recurrent femoral hernia, right. a brief problem focused history and exam are performed. the mdm complexity was straightforward. what is the correct e/m service code?
The correct e/m service code is CPT Code: 99241
ICD-10-CM:
K41.91
A femoral hernia occurs when fatty tissue or a portion of your bowel protrudes through the top of your inner thigh into your groin. It pushes through a weak spot in the surrounding muscle wall (abdominal wall) into an area called the femoral canal. Femoral hernias are generally not life-threatening medical conditions. Strangulation of the hernia can become life-threatening, however, and must be treated through emergency surgery.
Femoral hernias are frequently confused with inguinal hernias due to their proximity. Femoral hernias are relatively uncommon. If the hernia is not repaired, the intestine can become trapped inside. This is referred to as an incarcerated or strangulated hernia. It has the potential to cut off blood supply to the intestines.
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Scattered and off-focus radiation outside of the collimated field can have what effect on the width of the histogram?
A. Causes narrowing of the histogram
B. Causes widening of the histogram
C. Causes both narrowing and widening of the histogram
D. Causes neither narrowing nor widening of the histogram
Scattered and off-focus radiation outside of the collimated field can (B) Causes widening of the histogram.
Off-focus radiation in x-ray generation is the emission of x-ray photons from sources other than the anode focal area. These photons, which are essentially a type of scatter, may blur and are useless for diagnostic purposes.
When a radiation beam comes into contact with a substance, such body tissue, more radiation is produced that spreads out in various directions.
In order to concentrate light as sharply as possible, a telescope must be collimated, or all of its parts must be in perfect alignment.
In a histogram, several classifications are grouped into columns along the horizontal x-axis, resembling a bar graph in its display of the data. Each column's data count or percentage of occurrences are shown on the vertical y-axis. Data distribution patterns can be seen visually using columns.
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a client with lupus erythematosus wants to know why autoimmune disorders are much more common in women. what is the best response by the nurse?
A client with lupus erythematosus wants to know why autoimmune disorders are much more common in women. The best response by the nurse is estrogen tends to enhance immunity.
An overactive immune system may be the cause of autoimmune disease. Androgen typically suppresses the immune system.
Systemic lupus erythematosus is the type of lupus that is most common (SLE). An autoimmune disease called SLE causes the immune system to attack its own tissues, which causes severe tissue destruction and inflammation in the affected organs.
The body develops an autoimmune disease and unintentionally targets healthy cells when the natural defence mechanism can't tell the difference between your cells and foreign cells. More than 80 different types of autoimmune diseases exist, and they can affect many different body parts.
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if a person damages her glossopharyngeal nerve and can no longer experience the sensation of taste, she is likely to have which condition chapter 14
As previously established, the glossopharyngeal nerve innervates the stylopharyngeus muscle, which is responsible for raising the pharynx and larynx.
The trigeminal nerve, which is involved in taste through the experience of touch, pressure, warmth, and pain, also innervates the tongue (eg, spicy foods).
Glossopharyngeal nerve lesions cause difficulty swallowing, taste impairment over the posterior one-third of the tongue and palate, sensation impairment over the posterior one-third of the tongue, palate, and throat, an absent gag reflex, and parotid gland dysfunction.
The facial nerve (cranial nerve VII), which supplies fibers to the anterior two-thirds of the tongue, and the glossopharyngeal nerve (cranial nerve IX), which provides fibers to the posterior third of the tongue, are the three nerves related with taste.
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The nurse is caring for a client who has congestive heart failure and is taking digoxin daily. The client refused breakfast and is complaining of nausea and weakness. Which of the following actions will the nurse take first?
Check the client's vital signs
Request an order for an antiemetic
Suggest the client rests before eating a meal.
Request a dietician consult
Answer: Check the client's vital signs
Explanation:
The nurse will take the action of checking the client's vital signs first.
What is CHF?Congestive heart failure (CHF) is a condition in which the heart is unable to pump enough blood to meet the body's needs. It is a chronic condition that is characterized by a number of symptoms such as fatigue, weakness, shortness of breath, and swollen legs and ankles. CHF can occur when the heart is damaged, such as from a heart attack or from hypertension, or when the heart muscle becomes stiff, such as from a viral infection.
There are two main types of CHF: systolic heart failure and diastolic heart failure. Systolic heart failure occurs when the heart's ability to contract and pump blood is impaired, while diastolic heart failure occurs when the heart's ability to relax and fill with blood is impaired.
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a student who specializes in neurology in their doctorate of physical therapy program would be best equipped to work with which patient conditions? (choose all that apply)
A student who specializes in neurology in their doctorate of physical therapy program would be best equipped to work with patient diseases of the brain and spinal cord.
Neurology is that the branch of drugs coping with the identification and treatment of all classes of conditions and unwellness involving the brain, the medulla spinalis and also the peripheral nerves. medicine apply depends heavily on the sphere of neurobiology, the scientific study of the system.
Serious neurological disorders with diseases of the brain and spinal cord are learning disabilities, autism, cerebral palsy, ADD, epilepsy, spinal stenosis, tumors,degenerative disc disease, etc.
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a child is brought into the emergency department with a severe asthmatic episode by the grandparents who are caring for the child over the weekend while the parents are away. what is the legal consideration(s) for the health care team? select all that apply.
A child is brought into the emergency department with a severe asthmatic episode by the grandparents who are caring for the child over the weekend while the parents are away therefore the legal consideration for the health care team is to offer the required medical treatment and save the life of the child and is denoted as option B.
What is Healthcare?This is referred to as the various forms of efforts which are made to maintain or restore physical, mental, or emotional well-being by trained professionals such as Doctors etc.
Under the law, children are entitled to protection and appropriate medical treatment despite their parents' religious views or in their absence which is why offering the required care is legal and is the appropriate and right thing to do in this type of scenario.
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The options are:
suspend treatment until parents arrive.continue with the treatment.allow the child to die.a baby was born with a ventricular septal defect (vsd). the provider performed a right heart catheterization and transcatheter closure with implant by percutaneous approach. what codes are reported?
93581, Q21.0, The following codes were recorded for a newborn with a ventricular septal defect (vsd). The medical professional carried out a transcatheter closure and right cardiac catheterization.
One type of common birth abnormality is a hole in the heart called a ventricular septal defect (VSD) (congenital). Blood can flow from the left side of the heart to the right side of the heart due to a hole (defect) in the wall (septum) separating the lower chambers (ventricles) of the heart. Urinary catheterization involves inserting a catheter (a hollow tube) into the bladder to drain or collect urine. cardiac catheterization comes in two primary flavours: clean intermittent catheterization and indwelling catheterization (CIC). With this kind of catheterization, the catheter's tip stays inside the bladder.
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which statement is not a prediction of the hygiene hypothesis? group of answer choices children who frequently play outside should develop allergic diseases les often than children who don't play outside. pathogens that have long historical associations with humans, such as h. pylori, should be more positively related to immune system function than pathogens with more recent associations. extensive use of antibiotics as a child may affect how the body responds to future bacterial invasions. children who never wash their hands or bathe will be less likely to develop immune disorder than children who wash regularly. the more infectious diseases an individual is exposed to as a child, the less likely that person will be to develop immune disorders as an adult.
Children who NEVER wash they hands or bathe will be less likely to develop immune disorders than children who wash regularly.
According to the hygiene hypothesis, childhood exposure to germs and certain infections aids in the development of the immune system. This teaches the body to distinguish between harmless and harmful substances that cause asthma. Exposure to certain germs, in theory, teaches the immune system not to overreact. The hygiene hypothesis presumes that humans evolved in a pathogen-rich environment that no longer exists in industrialized societies.
The hygiene hypothesis presumes that humans evolved in a pathogen-rich environment that no longer exists in industrialized societies. According to the original hygiene hypothesis, decreased microbial exposure would increase the incidence of allergies and allergic asthma through enhanced atopic immune responses.
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which mobility test is recommended when the client demonstrates an anterior pelvic tilt in the overhead squat assessment
Abductor static stretch mobility test is recommended when the client demonstrates an anterior pelvic tilt in the exercise squat assessment.
Exercise is a sort of physical activity that enhances or maintains both physical fitness and overall health and wellness. It is done for a variety of reasons, including to improve athletic prowess, support strength and growth, develop the muscles and cardiovascular system, lose or maintain weight, improve health, or just for enjoyment. Since exercising outside enables people to socialize, form groups, and enhance their physical and emotional well-being, many people prefer to do so. Depending on the goal, the type of exercise, and the age of the person, a certain quantity of exercise is recommended for health advantages. Any form of exercise is better for you than no exercise at all.
The complete question is:
which mobility test is recommended when the client demonstrates an anterior pelvic tilt in the overhead exercise squat assessment?
a. Abductor static stretch
b. Adductor static stretch
c. Piriformis foam roller
d. Psoas foam roller
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what is the purpose of the healthy people program? a. to identify national trends in food consumption b. to identify leading causes of death in the united states c. to decrease health care costs d. to establish the dri e. to set goals for the nation's health over the next 10 years
Decreasing healthcare costs is the purpose of the healthy people program.
The Healthy People program is created to direct efforts to prevent disease and promote national health at the local, state, and federal levels. The federal government's preventative strategy for creating a healthy country is called Healthy People 2020. It is a declaration of national health goals intended to identify the biggest health concerns that may be avoided and set a national goal to lessen them.
The Healthy People 2030 objectives and chosen targets were developed by the Federal Interagency Workgroup on Healthy People (FIW), which also collaborated with separate workgroups of federal subject matter experts from more than 20 federal agencies. The FIW will also assist in reviewing the data and resources related to the objectives.
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dr. gazzaniga is doing a study with a split-brain patient. dr. g flashes an image of a dog in the left visual field and a snowman in the right visual field. what is the patient going to verbally report seeing?
When Dr. Gazzaniga flashed the split-brain patient an image of a dog in the left visual field and a snowman in the right visual field, the patient would verbally claim to have seen the snowman in the left visual field.
How does someone with a split brain behave?Despite the two separate hemispheres processing the same information gathered from their surroundings independently, parallelly, commonly differently, and occasionally in conflict, split-brained patients often behave in a coordinated, deliberate, as well as consistent manner.
If something appears in the right visual field, what may a split-brain patient do?Based on one study, when the researcher asks the participant's right visual field or left hemisphere what they are seeing, they will respond verbally. However, if the participant's left visual field or right hemisphere is asked what they see, they will be unable to respond verbally and instead will select the proper item with their left hand.
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Functional imaging studies indicate that drugs that alleviate symptoms of schizophrenia tend to increase activation of thefrontal cortex
It is false that functional imaging studies indicate that drugs that alleviate symptoms of schizophrenia tend to increase activation of the frontal cortex.
Functional imaging is that the study of human brain perform supported analysis of knowledge noninheritable victimization brain imaging modalities like Electroencephalography (EEG), fMRI, or Optical Imaging, MEG or PET. Functional imaging techniques is accustomed verify the consequences of brain injury or sickness on brain systems associated with psychological feature and behavior and to work out however rehabilitation changes brain systems.
Schizophrenia is a serious disturbance within which individuals interpret reality abnormally. Dementia praecox could end in some combination of hallucinations, delusions, and intensely disordered thinking and behavior that impairs daily functioning, and might be disabling. Individuals with dementia praecox need womb-to-tomb treatment.
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natalie has been using a substance high in delta-9-tetrahydrocannabinol for over two years. of late she is facing respiratory difficulties. her physician has also warned her that she is at a high risk of getting a heart attack. it is most likely that natalie is a heavy user of
It is most likely that Natalie is a heavy user of marijuana.
Shortness of breath can be caused by factors other than an underlying disease. Exercise, altitude, tight clothing, prolonged bed rest, or a sedentary lifestyle are all examples. Marijuana is a psychoactive (mind-altering) drug produced by the Cannabis sativa plant. Marijuana contains over 480 different constituents. THC (delta- 9-tetrahydrocannabinol) is believed to be the main ingredient that produces the psychoactive effect.
Cannabis has various mental and physical effects, which also include euphoria, altered states of mind and perception of time, difficulty concentrating, impaired short-term memory, impaired body movement, relaxation, as well as an increase in appetite. Chronic or prolonged cannabis use occurs when a person uses cannabis on a regular basis for months or years.
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1. A medical order states that a patient is to receive 500 mL of 0.9% sodium chloride IV over two
hours. How fast is the IV running in ml/hr?
Hello,
I hope you and your family are doing well!
To find the rate at which the IV is running in ml/hr, you can use the formula:
rate = volume/time
In this case, the volume of the IV is 500 mL and the time it is to be infused is 2 hours. Substituting these values into the formula gives us:
rate = 500 mL / 2 hours = 250 mL/hr
Therefore, the IV is running at a rate of 250 mL/hr.
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Best,
greta, the quality control inspector at a baby food copacking factory, has discarded fourof the previous nine batches of baby food for trace levels of contamination. greta needs to turn this problem around and find a way to improve the situation, so she should probably perform
Greta, the quality control inspector needs to turn this problem around and find a way to improve the situation, so she should probably perform a diagnosis.
Diagnosis is that the method of crucial that sickness or condition explains a human symptoms and signs. it's most frequently spoken as designation with the medical context being implicit. There ar four sorts of nursing diagnoses: risk-focused, problem-focused, health promotion-focused, or syndrome-focused.
Contamination is that the presence of a constituent, impurity, or another undesirable part that spoils, corrupts, infects, makes unfit, or makes inferior a fabric, soma, natural atmosphere, workplace, etc. Contamination generally comes from explicit industrial, agricultural or business activities.
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explain what is needed to help gauge your progress and help you to reach your long-term goal during a fitness plan.
To gauge your progress and reach long-term goal during a fitness plan either plan-checking or using the S(pecific) M(easurable) A(ttainable) R(ealistic) T(imely) acronym.
Those who support the utilization of SMART acronym they supply a transparent road map for each the person setting the goal and therefore the person evaluating their progress (e.g. worker and leader, or jock and coach). The person setting the goal is alleged to achieve a transparent understanding of what has to be delivered and therefore the person evaluating will then assess the end result supported outlined criteria. good criteria are usually related to Peter Drucker's management by objectives idea.
A fitness plan is a schedule of planned sessions of workout. These sessions may be relaxed exercise, sort of a walk round the park, or it may be a lot of strenuous, like interval coaching or resistance coaching.
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TRUE/FALSE. the goal of the program is that, even with paying a contingency fee to the rac auditors, the integrity of the medicare trust funds would be maintained. cms, during the demonstration phase of this project, committed to addressing some concerns raised along with identifying successes and opportunities for improvement.
False. After payments, RACs examine claims. The RACs identify and fix previous wrongful payments so that CMS, Carriers, FIs, and MACs can take steps to stop similar mistakes from happening in the future.
The goal of the Medicare Fee for Service (FFS) Recovery Audit Program is to identify and correct Medicare improper payments through the effective detection and recovery of overpayments on claims for health care services provided to Medicare beneficiaries as well as the identification of underpayments to providers so that the CMS can take steps to prevent further improper payments. From MACs, UPICs, and federal investigative authorities, CMS frequently receives referrals regarding possible unlawful payments. Based on these referrals, CMS may voluntarily compel the RAC to investigate claims. These RAC reviews, mandated by CMS, are carried out.
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Dietary supplements may be beneficial for
a. a pregnant woman
b. someone who is on a diet with restricted kilocalorie intake
c. an elderly man with pneumonia
d. a healthy college student
e. a,b, and c only
The correct option is (E) that is a, b and c only.
a. a pregnant woman
b. someone who is on a diet with restricted kilocalorie intake
c. an elderly man with pneumonia
All nutrients are important, but these six play a key role in your baby's growth and development during pregnancy:
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a nurse on the medical-surgical unit just received the client care assignment report. which client should the nurse assess first?
The client who reports anxiety and shortness of breath and has unilateral leg swelling should be seen first.
What is unilateral leg swelling?Unilateral leg swelling is described as a very rare clinical feature in patients with ureteral cancer that is caused by direct invasion or metastatic lymphadenopathy can result in the compression of the external iliac vein inducing venous insufficiency.
If a nurse on the medical-surgical unit just received the client care assignment report.
This client is exhibiting signs and symptoms of pulmonary embolism, which is a life-threatening condition.
The signs and symptoms of pneumonia include: Crackles, fever, and pleuritic pain are.
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Complete question:
A nurse on the medical-surgical unit just received the client care assignment report. Which client should the nurse assess first?
the client with anorexia, weight loss, and night sweats
the client with crackles and fever who reports pleuritic pain
the client who had difficulty sleeping, daytime fatigue, and morning headache
the client with unilateral leg swelling who reports anxiety and shortness of breath
according to the national heart, lung, blood institute, which characteristics below is a coronary heart disease (chd) risk equivalent; that is, which risk factor places the patient at similar risk for chd as a history of chd?
Diabetes mellitus places the patient at similar risk for CHD as a history of CHD.
In determining whether a patient should be treated for hyperlipidemia, a patient's risk factors must be determined. CHD equivalents must be identified after fasting lipids, specifically LDLs, have been assessed. The term "responsibility" refers to the act of determining whether or not a person is responsible for his or her own actions.
Elevated LDL cholesterol, cigarette smoking, hypertension, low HDL cholesterol, family history of premature CHD [in male first degree relatives (FDR) < 55years; female FDR, 65 years] , and age (men ≥ 45 years, women ≥ 55 years) are major CHD risk factors. Patients with 2 or more risk factors should have a 10 risk assessment performed and treated accordingly.
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a patient presents to your dental office the day after her dental appointment complaining of swelling and itching on the right side of her face. you should reassure the patient that it is not possible that her symptoms are related to dental anesthesia. group of answer choices true false
You should reassure the patient that it is not possible that her symptoms related to dental anesthesia is False.
The reason local anesthetic concentrations are higher than injectables is to facilitate the diffusion of local anesthetic through mucous membranes. Neither local nor injectable anesthetics used in dentistry are natural vasoconstrictors.
Cetakaine Spray is the only FDA-approved local anesthetic for gag reflex inhibition. The dosage is one spray per second. The toxicity of local anesthetics usually occurs as a result of treatment error. Circumstances leading to toxicity include accidental intravenous or arterial injections and overdose of ingestion or topical formulations containing local anesthetics.
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a post-menopausal woman with osteoarthritis of the left hip underwent a total hip replacement. after the surgery, the patient suffered total paralysis of the left quadriceps muscle group and radiating pain along the posterior thigh. it was determined that nerves from the lumbar plexus and the sacral plexus were damaged during the surgery. what two nerves were most likely damaged?
Glucose polymers that can enhance performance by helping to maintain hydration and blood glucose levels are available in ____.
a. protein water
b. soft drinks
c. enhanced water
d. vitamin water
e. sports drinks
Glucose polymers that could decorate performance by way of supporting preserving hydration and blood glucose levels are available in sports drinks.
Option e. sports activities liquids.
Glycogen is a glucose polymer this is on the whole stored inside the liver and muscle and is required for glucose homeostasis all through fasting.
Amylose and cellulose are both linear polymers of glucose units, however, the glycosidic linkages between the glucose devices vary. The linkages in amylose are α-1,4-glycosidic linkages, at the same time as the linkages in cellulose they're β-1,4-glycosidic linkages.
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Generic medications __________. A. Are more expensive than the original versionb. Are designed to cause more side effects than the original versionc. Often won't help the conditiond. Include the same active ingredients as the original medication.
Answer:
Include the same active ingredients as the original medication.
Explanation:
How do the concepts of ‘emulation’ and ‘imitation’ relate to different subtypes of mirror neurons as identified in e.g monkey area F5?
The concepts of ‘emulation’ and ‘imitation’ relate to different subtypes of mirror neurons as in imitation an individual learns by copying the actions of another, while in emulation they learn instead about the environment
In what ways do mirror neurons play a role in imitation?A mirror neuron is a type of neuron that lights up when you perform an action and when you witness someone else perform the same action. Babies are able to practice and learn new skills by imitating other people they see. We also experience emotions when we witness other people doing so.
In contrast to imitation, which involves copying another person's actions, emulation involves learning about the environment, other people's actions and results, as well as the relevant characteristics of tools and other relevant objects.
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which of the following characterizes chronic malnutrition in children? a. rapid weight loss b. low weight for height c. short height for age d. hyperactivity e. shrunken liver
The chronic malnutrition in children is short height for age which means option c is the correct choice.
This is a condition that develops when children do not eat the correct balance of nutrients in the first 1,000 days of life (from conception to the age of two), resulting in the irreversible stunting of their cognitive and physical development. It is caused by a lack of nutrients, either as a result of a poor diet or problems absorbing nutrients from food. Estimates indicate that starving people become weak in 30 to 50 days and die in 43 to 70 days.
Therefore, option c is the correct choice.
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a 34-year-old client is diagnosed with chronic hepatitis c. testing reveals that the client is a candidate for treatment. the nurse anticipates that which therapy could be used to treat the client's condition?
Multiple sclerosis and chronic inflammatory illnesses are both treated with interferons. Interferons are immune system-related disorders (e.g. chronic hepatitis)
Proteins called interferons are a component of your body's natural defences. They alert your immune system to the presence of pathogens or cancerous cells in your body. Additionally, they activate killer immune cells to combat the invaders. Because they "interfere" with viruses and prevent their growth, interferons received their name.
a natural substance that supports the body's immune system in the battle against illness, including cancer. White blood cells and other cells in the body produce interferons, but they can also be produced in a lab for use in treating various disorders.
Because they shield cells against viral infections, interferons have the power to "interfere" with viral reproduction.
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huynh is devising a questionnaire to predict an elderly person's risk of entering a nursing home. which question should appear on huynh's list?
The question which is most likely to be added to the Hyunh questionnaire is option "(A). If you become impaired, do you have family members and or a friend willing to take you in?"
In a controlled setting, such as a hospital or nursing home, it is necessary to take a set of measures that are suited to the needs of those people, such as increasing independence in daily activities.
Self-esteem is an individual's perception of himself, including his physical and emotional traits, as created by his experiences, beliefs, and behavior.
Therefore, the nurse could provide the elderly more autonomy by demonstrating that they still have influence over their life and tasks in order to boost their self-esteem in a nursing home.
The complete question is:
Huynh is devising a questionnaire to predict an elderly person's risk of entering a nursing home. Which question should appear on Huynh's list?
A) If you become impaired, do you have family members and or a friend willing to take you in?
B) Are you male and in your eighties or above?
C) Are you poor?
D) Are you middle class?
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