Patient teaching must include option c ,d and optionf that is : The medicine should be taken with a full glass of water. The patient should watch for body aches or gastrointestinal upset as side effects. The patient should have liver function tests frequently.
What is atorvastatin ?A class of drugs known as HMG-CoA reductase inhibitors includes atorvastatin . It functions by reducing the amount of cholesterol that may accumulate on the artery walls and obstruct blood flow to the heart, brain, and other organs of the body. This is done by delaying the body's creation of cholesterol.
typical adverse consequences :
experiencing nausea or indigestion Eat simple meals only
Headaches. Rest and ingest a lot of drinks, please
Nosebleeds
unwell throat
symptoms of a cold, like a runny or blocked nose or sneezing
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early diagnosis for diabetes mellitus in the older adult is more difficult due to the presentation of nonspecific manifestations of the disease. therefore, how often should the nurse obtain fasting blood glucose levels to determine a diagnosis?
early diagnosis for diabetes mellitus in the older adult is more difficult due to the presentation of nonspecific manifestations of the disease. therefore, how often should the nurse obtain fasting blood glucose levels to determine a diagnosis of plasma glucose level is between 60 and 99 mg/dl.
A typical fasting plasma glucose level is between 60 and 99 mg/dl, while typical fasting blood glucose awareness is between 70 mg/dL (3.9 mmol/L) and 100 mg/dL (5.6 mmol/L) at different times.Fasting plasma glucose test: Diabetes usually doesn't become apparent until two different tests have two values of 126 or higher. The class system for diabetes mellitus is unique because, with the exception of patients with type 1 diabetes, research suggests that there are significant differences between individuals within each class and that some patients may even migrate between classes. Type 1 diabetes, Type 2 diabetes, gestational diabetes, and diabetes mellitus associated with other diseases are the basic classifications for diabetes.
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was your actual number of people who were infected after two or four contacts different than what was expected? if yes, why do you think some people were not infected?
A core tenet of infectious disease is, in fact, the tracking of contacts of affected people for the purposes of monitoring, isolation, or testing.
Why can't everyone access Covid?One in all infected individuals may have a gene mutation that makes antibodies and T cells ready to combat COVID-19, which they acquired when they contracted other coronaviruses, such as the common cold.
Can you develop Covid immunity?The COVID-19 vaccination induces a consistent and potent immunological response, making it the safest method for boosting immunity. A high level of protection against COVID-19 is provided by the COVID-19 vaccination, and those who have already had COVID-19 may benefit from additional protection.
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the nurse is caring for a client who is receiving iv vancomycin. the nurse infuses the medication at the prescribed rate to prevent what from occurring?
The nurse infuses the medication to prevent: Red man syndrome.
What is Red man syndrome ?Red man syndrome is a reaction to infusions that is specific to vancomycin . The face, neck, and upper body are frequently covered in an erythematous rash with pruritus. Angioedema and hypotension can happen less frequently.
Following intravenous vancomycin administration, red man syndrome (RMS), a common allergic reaction to vancomycin, often manifests as a rash on the face, neck, and upper body. RMS may occasionally be accompanied by angioedema and hypotension.
Red man syndrome (RMS), formerly known as vancomycin flushing syndrome (VFS), is an anaphylactoid reaction brought on by the quick infusion of the glycopeptide antibiotic vancomycin.
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ceftriaxone has been prescribed to be given intramuscularly to an older adult client with disuse syndrome of the left arm due to a stroke. which action related to intramuscular injections should the nurse utilize with this client?
A prescription has been written for an older adult client who has disuse syndrome of the left arm as a result of a stroke to get ceftriaxone intramuscularly, they should be watched for bleeding at the injection site.
The biggest risk factor for ADEs is probably polypharmacy, which refers to taking more drugs than intramuscularly are clinically indicated. Due to metabolic changes and decreased ceftriaxone drug clearance brought on by aging, elderly patients are more susceptible to specific ceftriaxone medication adverse effects than younger patients, making them particularly vulnerable to ADEs. This intramuscularly risk is increased by the fact that older patients take more medications overall.
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a nurse is caring for a client after internal fixation of a compound fracture in the tibia. the nurse finds that the client has not had dinner, seems restless, and is tossing on the bed. what is the most appropriate response by the nurse?
The most appropriate response by the nurse is "Tell me what you are feeling."
The nurse should ask the patient to express his feelings to her. Open-ended questioning would nudge the client toward expressing his suffering. Because they may view doing so as being less than manly, Latino men may not express their emotions or talk about their symptoms openly.
Asking closed-ended inquiries like "Are you in pain?" "Do you need pain medication?" and "Are you feeling okay?" can prevent the client from expressing his feelings and obstruct dialogue.
An open or complicated fracture occurs when a bone breaks in a way that bone pieces protrude through the skin or a wound extends down to the damaged bone.
Open fractures frequently result in far more harm to the nearby tendons, ligaments, and muscles.
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during examination of ue control, you observe your patient reach for an object. the patient exhibits slow movement and movement decomposition to reach the object. when asked to reach quickly, the patient overshoots the object. strength testing reveals normal ue strength. sensation is intact. where is the lesion?
The lesion is in Cerebellum.
What is Cerebellum?
The cerebellum is a part of the brain that is located at the back of your head, just above and behind where your spinal cord connects to your brain. The term "cerebellum" is derived from Latin and means "small brain." For centuries, scientists believed that the cerebellum's function was to coordinate muscle movements.
Cerebellar damage can result in: 1) loss of motor movement coordination (asynergia), 2) inability to judge distance and when to stop (dysmetria), 3) inability to perform rapid alternating movements (adiadochokinesia), and 4) movement tremors (intention tremor),
As part of the vestibulocerebellar system, cerebellar dysfunction causes balance problems and gait disorders, as well as difficulties in coordination, resulting in ataxia, uncoordinated movements, imbalance, speech problems (dysarthria), visual problems (nystagmus), and vertigo.
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a 33-year-old male is brought to the emergency department for treatment of injuries received in a motor vehicle accident. an mri reveals an injury of the cervical cord. cord swelling in this region may be life threatening because:
33-year-old man is sent to the emergency room to receive treatment for injuries sustained in a car accident. An mri demonstrates a cervical cord damage. Because the function of the diaphragm may be hampered, cord swelling in this area may be fatal.
Spinal trauma is evaluated and found via diagnostic imaging, notably Magnetic Resonance Imaging (MRI). subtle anomalies in the spinal cord, soft tissues, and bone marrow The main muscle used for breathing is the diaphragm, which is situated underneath the lungs. It is a large, dome-shaped muscle that frequently contracts unconsciously diaphragm and regularly. On MRI, abnormalities that might not be visible on other imaging modalities can be quickly found.
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respond to the question using the figure below, which depicts the effects of microbiome products on weight gain.if an individual produced a form of interferon-gamma (ifn-gamma) that was not affected by butyrate, what would be the most probable result? choose one:a. inflammation would be reduced in the individual.b. hunger would be promoted in the individual.c. hunger would be reduced in the individual.d. inflammation would be promoted in the individ
If an individual produced a form of interferon-gamma that was not affected by butyrate, the most probable result is Inflammation would be promoted.
What is interferon gamma?
The only type II interferon is the dimerized soluble cytokine known as interferon gamma. Wheelock described the existence of this interferon, which was initially known as immune interferon, as a product of human leukocytes stimulated with phytohemagglutinin. Others have described it as a product of lymphocytes stimulated by antigens. It was also demonstrated that human lymphocytes make it. or mouse peritoneal cells that had been tuberculin-sensitized when they were subjected to the Mantoux test, the ensuing supernatants were found to suppress the proliferation of the vesicular stomatitis virus.
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carla is taking a home pregnancy test to find out if she is pregnant. if this test comes back positive, which hormone has it detected in carla's urine?
The human chorionic gonadotropin hormone was found in Laura's urine (HGC).
How soon will a pregnancy test read positive?In many cases, the home test can provide a positive result as early as 10 days after fertilization. To obtain a more accurate result, postpone taking the test until after you've missed your period. Keep in mind that what a testing you took too soon can come up negative even if you really are pregnant.
Which area of your tummy pains during the first pregnancy?Typically, abdomen or stomach pain occurs when a woman is pregnant. During the first trimester, minor stomach problems are rather normal. These are triggered by uterine expansion and hormonal changes.
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ubject in a clinical research trial experiences a serious, unanticipated adverse drug experience. how should the investigator proceed, with respect to the irb, after the discovery of the
Utilize the structures or the component provided by the IRB and report the antagonistic pharmaceutical involvement in accordance with the IRB's arrangements and processes.
What kind of personality are adversaries?
Narcissism, impulsivity, and callousness are examples of characteristics that characterize a hostile personality. These characteristics indicate that the person is primarily concerned with their own self-interests and is more inclined to manipulate and take advantage of others in order to further their objectives.
What is a narcissistic antagonist?
Some studies claim that a subtype of overt narcissism is hostile narcissism. The emphasis with this narcissistic trait is on rivalry and competition. Arrogance is one of the traits of aggressive narcissism. tendency to exploit other people.
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a 73-year-old client admitted after a stroke has expressive aphasia. which pain intensity scales would be appropriate to use with this client? select all that apply.
Analog visual scale, numerical rating scale It would be OK to utilize the Wong-Baker FACES scales with this client.
Which pain grading systems are employed to assess a client's level of suffering?Most people use this pain scale. These pain thresholds may be evaluated before starting treatment or at regular intervals after finishing it.
What course of action should the nurse pursue in order to assess the patient's pain level?The most accurate method for determining pain severity is self-report. Never rely on the patient's behavior or vital signs to replace self-report of pain when the patient is able to do so.
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the client sustained a tibia fracture and a cast was applied. the client is reporting increasing pain when flexing toes. which symptoms does the nurse assess as associated with compartment syndrome? select all that apply.
The first and most trustworthy indication of compartment syndrome. Pain that is out of all proportion to the damage, pain that is excruciating with passive motion, and pain that is not eased by opioid analgesia.
What sort of work are nurses supposed to perform?In addition to providing emotional support to patients' families and educating the public about different health issues, registered nurses (RNs) supervise and perform medical treatments. Most registered nurses collaborate with physicians and other medical experts in a number of settings.
Would a nurse be qualified for the position?They are responsible for a number of post-operative surgical therapeutic tasks. Whether it's cardiac, pediatric, or obstetric surgery, many surgical nursing professionals opt to specialize in one of these fields.
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immediately after birth a newborn infant is suctioned, dried, and placed under a radiant warmer. the infant has spontaneous respirations and the nurse assesses an apical heart rate of 80 beats/minute and respirations of 20 breaths/minute. what action should the nurse perform next?
Initiate positive pressure ventilation.
What is positive pressure ventilation?
To keep the child's airways open while breathing, positive-pressure ventilation, often known as CPAP, is a safe and effective breathing treatment. It is given by a machine that blows air or oxygen into the air passages (nose, throat) at a controlled pressure through a mask or artificial airway.
The infant's vital signs are not within the usual range, and oxygen deprivation causes cardiac depression in babies. The nurse should start positive pressure ventilation very away. Normal neonatal respirations and pulse rates are 40 to 60 breaths per minute and 100 to 160 beats per minute, respectively. Waiting to act until the baby is one minute old could make the baby's condition worse. CPR shouldn't start until the heart rate is 60 or lower, or between 60 and 80, and not rising after 20 to 30 seconds of PPV, according to neonatal resuscitation guidelines. After addressing the infant's breathing rate, the blood sugar level can be assessed.
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Victoria has learned that she has metastatic breast cancer and has only a few months to live. She immediately goes to church and prays that she will "change her ways" and will become a model Christian if God will just heal her illness. Victoria is at the _______ stage of grieving.
a. depression
b. anger
c. bargaining
d. denial
Victoria has learned that she has metastatic breast cancer, so she immediately goes to church and prays to become a model Christian if God will just heal her illness. Victoria is at the bargaining stage of grieving, which is in Option C.
What is the cancer?Cancer is abnormal cell growth that can be life-threatening and can occur in any organ of the body, such as blood cancer, skin cancer, breast cancer, etc. When these cancerous cells move from one place to another, this is called metastatic.
Hence, Victoria is at the bargaining stage of grieving, which is in Option C.
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a parent brings a child to the clinic with symptoms of weight loss, paleness, fatigue, and not growing. what question about the child's environment should the nurse ask the parent based on these symptoms?
Choose the best question to ask the nurse to assess a family's ability to cope. "Explain how you successfully dealt with one family difficulty.
" Family members transfer their issues onto a certain family member. As much as possible, assist children with their assignments. Children who do not perform well should be punished. If there appears to be a problem, communicate with teachers.
Increasing physical exercise, eating breakfast every day, and eating family meals. Your education; schools attended, your family's attitude toward education, school attendance, academic achievements, and any bullying concerns. long-term, solid connections
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which tasks related to dressing would the nurse expect the 2-year-old child to accomplish? select all that apply. one, some, or all responses may be correct
The nurse may expect the 2-year-old child to pull off his socks or maybe put his shoes on. He/she may throw some tantrums too.
Why are 2 year olds so fidgety?There are various causes for children to fidget a lot.
Sometimes it's because you're bored. However, stress, worry, hyperactivity, and concentration issues are frequent causes. ADHD children frequently fidget.
Most 2-year-olds are unable to remain still for very long. Simply said, they must move. Therefore, it is unfair to demand that your child sit through a lengthy movie, a sumptuous lunch, or an entire sermon.
Neurodevelopmental diseases include ADHD, processing difficulties, learning disabilities, and Asperger syndrome all frequently exhibit fidgeting as a symptom (ASD). It happens when your child works on chores that aren't engaging enough to keep his or her attention.
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the medical condition whereby an individual's blood glucose levels are chronically elevated but not high enough to be diagnosed as having diabetes is called group of answer choices
Pre-diabetes, which affects approximately 1 in 6 persons (more than 2 million people) over the age of 25, is a similar disorder. When blood glucose levels are above normal but not high enough to be classified as diabetes, the condition is called pre-diabetes.
What disease is marked by slightly raised blood glucose levels?A higher than usual blood sugar level is referred to as prediabetes. It is not yet regarded to be type 2 diabetes due to its low level. But without a change in lifestyle, prediabetic adults and kids run a serious danger of developing type 2 diabetes.
The term diabetes is most generally used to refer to diabetes mellitus. It occurs when your pancreas doesn't make enough insulin to keep the level of glucose, or sugar, in your blood under control.
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an asian-american patient diagnosed with depression explains to the nurse that eating two specific foods will restore the balance of hot and cold and she will be cured. the nurse should
Arrange for the patient to talk with the dietitian is what the nurse should do.
Is there a cause for depression?
Depression can have many different causes. It has numerous triggers and a wide range of potential causes. A traumatic or stressful life event, such as a death in the family, a divorce, a sickness, a layoff, or concerns about one's career or finances, maybe the culprit for some people. Depression frequently results from a combination of many reasons.
Hence, the answer is to arrange for the patient to talk with the dietitian is what the nurse should do.
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quizlet cpco which of the following is not a purpose of the requisition lab slip? a. ensure the physician or other authorized individual has made an independent medical necessity decision with regard to each test the organization will bill b. encourage physicians or other authorized individuals to submit the diagnosis information for all tests ordered c. capture the correct program information d. contain a statement that indicates medicare generally covers all routine screening tests
All but the following should be done on requisition lab slips: Include a statement indicating that Medicare typically pays for all routine screening tests.
Design of Requisitions - A lab's requests should:Obtain accurate programme informationCheck that each test for which the organisation will charge has an independent medical necessity determination issued by a doctor or other authorised person.Encourage medical professionals or other appropriate parties to provide the diagnosis details for all test orders.Clearly mention that routine screening tests are typically not covered by Medicare.The OIG Compliance Program Guidance identifies the following as key risk areas for third-party medical billing companies: Signature of the Provider
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all long-term-care nurse assistants must be competency evaluated and must complete a distinct educational course. these requirements are set by
CNAs may complete these programs to maintain their active status on... or a Nurse Aide Training and Competency Evaluation Program that has been approved).
If a nursing assistant thinks a resident is being abused, what should he do?Whether or not reporting is required by law, discuss any suspect of abuse with the patient in a respectful manner and point them toward the proper local resources. Report any suspected acts of abuse and violence in accordance with any applicable regulations.
What does a process objective look like in practice?Process goals are typically short-term by nature. A SMART process objective illustration: (X%) of the healthcare professionals who reported giving the wrong gonorrhea treatment in County Z will be contacted by (month/year) within a month.
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cyclophosphamide is prescribed for a client with a diagnosis of breast cancer. the nurse has reinforced instructions to the client regarding the medication to prevent hemorrhagic cystitis. which statement by the client indicates an understanding of this chemotherapeutic regimen?
The metabolism of cyclophosphamide results in a number of metabolites having alkylating action. Phosphoramide mustard and acrolein were the main metabolites found. Dephosphoramidation of phosphoramidated mustard can produce nornitrogen mustard, which also possesses alkylating properties.
What safety precautions should be considered when working with chemotherapy medications?Personnel should be protected from exposure when handling HDs by using personal protective equipment (PPE). PPE consists of respiratory barrier protection, gloves, gowns, goggles for eye protection, and a complete face shield for head protection.
Frequently, cyclophosphamide produces nausea, vomiting, and appetite loss. Even if you start to feel sick, it's crucial that you keep taking the medication. Without first consulting your doctor, do not discontinue using this medication. For advice on how to decrease these symptoms, ask your doctor.
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Where in the body would it NOT be advisable to use a swelling-controlled drug delivery system? Explain why in 1-2 sentences.
[WILL MARK BRAINLIEST] ----[URGENT]
The area in the body would it not be advisable to use a swelling-controlled drug delivery system are areas such as head etc.
What is a Swelling-controlled drug delivery system?This is referred to as the process which involves the release of a solute being controlled by one or more of the following processes such as the following below:
Transport of the solvent into the polymer matrix.Swelling of the associated polymer.The drug has to be administered in areas which have a swollen polymer such as the adipose tissues and other parts of the body. The head has little or none of such property which is therefore the reason why it was chosen as the correct choice.
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the nurse is teaching a client how to manage postoperative pain through a patient controlled analgesia (pca) pump. the nurse determines that additional teaching is needed when the client make which statement?
When the client says, "I should only use medication if my pain is extreme," the nurse decides that more education is required.
What drugs are used for analgesia?They consist of many medicine categories acetaminophen, nonsteroidal anti-inflammatory drugs, antidepressants, antiepileptics, local anesthetics, and opioids.
What is the difference between analgesia and anesthesia?Analgesia is the use of analgesics to treat pain without causing loss of consciousness or feeling (e.g., Aspirin, Carprofen, etc.). Anesthesia is the use of anesthetics to cause a loss of bodily sensation with or without awareness (e.g., Ketamine, Propofol, Isoflurane, etc.). The most popular analgesic is ibuprofen, and women use it and paracetamol more frequently than men do.
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your department has an advanced triage protocol that allows the emergency nurse to administer an anesthetic eye drop before morgan lens application. what color is the top of the container?
Eye drop bottles have colored caps that correspond to the effects of the drug. Anesthetics are indicated by white or transparent caps, mydriatics are indicated by red caps, miotics are indicated by green caps, and drugs that decrease aqueous humor production are indicated by yellow caps.
What is triage?When immediate care cannot be given due to a lack of resources, the triage procedure is used in medicine. The system directs care towards the people who will gain the most from it and who are most in need of it. When it is needed in its acute form, it is most frequently needed on the battlefield, during a pandemic, or in the times of peace when an accident causes a large number of casualties that overwhelm the capacity of the local healthcare institutions.
What is triage protocol?A set of algorithms known as protocols enable nurses to ask patients standardized questions and provide consistent care guidance. When doing patient assessments over the phone, triage nurses follow procedures. By doing this, they can guarantee that the data they provide is uniform and that patients are getting the best possible care.
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patient with hypertension, anorexia, nausea and vomiting, and anemia and is diagnosed with chronic renal failure, how would you explain to the patient the cause of their anemia?
When your kidneys are damaged, they produce less erythropoietin (EPO), a hormone that signals your bone marrow—the spongy tissue inside most of your bones—to make red blood cells. With less EPO, your body makes fewer red blood cells, and less oxygen is delivered to your organs and tissues.
What is renal anemia?
A frequent side effect of chronic renal disease is anemia (CKD). Kidney disease (CKD) is characterized by impaired blood filtration due to damaged kidneys. Wastes and fluid can accumulate in your body as a result of this harm. Other health issues can also result from CKD.
hence, the answer is when your kidneys are damaged, they produce less erythropoietin (EPO), a hormone that signals your bone marrow—the spongy tissue inside most of your bones—to make red blood cells. With less EPO, your body makes fewer red blood cells, and less oxygen is delivered to your organs and tissues.
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Your neighbor wants to try your isotretinoin. You tell her or him:a. I must not share isotretinoin.b. He or she must see a doctor/prescriber who can prescribe isotretinoin.c. You tell her or him both of these reasons.
A neighbor wants to try your isotretinoin. You tell her or him: c. You tell him these two reasons.
What is isotretinoin?Isotretinoin is a drug for treating acne with mild to moderate severity. Isotretinoin is commonly used to treat blackheads and inflamed acne. This drug is available in gel form. Isotretinoin is a vitamin A derivative (retinoid).
Isotretinoin is a drug that is widely used to treat inflamed pimples and blackheads. However, its use also carries the risk of causing side effects, ranging from allergic reactions, and dry skin, to acne, that appear to get worse so the user needs to see a doctor.
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a nurse at the dermatology office triages voice messages from clients. which older adult client is the priority for a follow up return call?
A 78-year-old with such a dark, bloated, and liquid-draining lesion, In general, a skin lesion should be examined by a doctor if any of the following apply: skin that is red, swollen, darkly pigmented, wet, or
What are lesions on the skin?Skin lesions are regions of your body that differ from the surrounding skin. Skin lesions are frequent and may be the consequence of harm to your skin or damage to it, such as sunburn. Sometimes they're an indication of underlying illnesses like illnesses or autoimmune diseases.
What does a lesion on the skin resemble?Skin lesions are patches of skin that don't match the rest of the body. Many problems can produce them, which are frequently lumps or patches. An abnormal lump, bump, ulcer, sore, or pigmented region of the skin is referred to as a skin lesion by the American Society on Dermatologic Surgery.
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1. a treatment method aimed at making people feel better and function more effectively is called .
Therapies used to help patients feel better and perform better include: Psychotherapy is a form of treatment for mental illnesses in which a patient discusses their issues with a psychologist.
The most successful non-medical treatment for the majority of depressive illnesses, particularly mild to moderately severe unipolar depression, is behavioural activation therapy (BAT).
Emotional support, problem exploration, interpretation, feedback, and psychosocial skill development are all components of contemporary psychotherapy techniques used for direct patient treatment. Through the use of the proper countermeasures, behaviour therapies seek to rectify particular problematic emotional states or behavioural patterns.
A therapeutic approach is the theoretical framework through which a psychologist or counsellor views interpersonal interactions and the problems that people face throughout their lives.
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a client with pericardial effusion has phrenic nerve compression resulting in recurrent hiccups. the healthcare provider prescribes metoclopramide (reglan) liquid 10 mg po q 6 hours. reglan is available as 5 mg/5 ml. a measuring device marked in teaspoons is being used. how many teaspoons should the nurse administer?
The nurse should use 2 teaspoons for a client with pericardial effusion has phrenic nerve compression resulting in recurrent hiccups.
The phrenic nerve serves as the principal motor supply for the diaphragm, the main breathing muscle. The phrenic nerve may be injured during cardiothoracic surgery, which may lead to diaphragmatic paralysis or dysfunction. Phrenic nerve damage manifests vaguely, making a diagnosis simple to overlook.
Diaphragm paralysis or weakness can result from phrenic nerve damage. A paralyzed diaphragm affects your capacity to breathe air into your lungs. Depending on where the phrenic nerve injury is, you may experience bilateral (paralysis on both sides of your diaphragm) paralysis (bilateral). Metoclopramide (Reglan) liquid 10 mg is prescribed by the doctor every six hours. For reglan, the recommended dosage is 5 mg/5 ml. The measurement device is marked with a teaspoons symbol. So 2 tea spoons must be used.
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a patient with breast cancer is receiving trastuzumab in combination with doxorubicin. the nurse would monitor the patient for which complication?
This patient's top concern is "Do not take this medication with grapefruit juice." Trastuzumab and doxorubicin are being given to patients with breast cancer.
Transtuzumab: a chemotherapeutic drug?
Breast cancer that has spread metastatically is treated with trastuzumab. The HER2/neu protein-overexpressed malignancies can be effectively treated with it. is a component of a chemotherapy regimen used as adjuvant therapy for breast cancer with HER2/neu protein positivity and positive lymph nodes.
Why is trastuzumab administered following chemotherapy?
Because this is how it has been examined in clinical trials, trastuzumab is typically administered along with chemotherapy. Additionally, it can be administered in conjunction with other therapies like radiation, hormone therapy, and a different biological therapy known as pertuzumab (Perjeta).
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