A family health history is a list of the illnesses and ailments that have run in your family. Genes run in your family and yours.
Why is family health history important for my health?
Most people have at least one chronic disease, such as cancer, heart disease, or diabetes, running in their families. In particular, if more than one close relative has the condition or if a family member contracted it at a younger age than usual, having a close relative with a chronic illness may increase your risk of getting that illness yourself.
Before going to the doctor, gather information about your family's medical history and bring it with you. Even if you don't have complete knowledge of your family's medical history, share what you do. Even with insufficient information, your doctor can use your family health history to determine the screening tests you should have.
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the nurse is assessing the breasts of a caucasian woman who has just been diagnosed with paget disease. what would the nurse expect to find?
The nurse anticipates finding cramping and abdominal pain.
What is the ideal patient position for detecting breast retraction or dimpling?The patient is seated facing the examiner as the breasts are initially visually evaluated. The patient is told to raise their hands above their heads and place them on their hips.
What part of the breast experiences breast cancer cases the most frequently?The glands that produce breast milk are called lobules. Lobular malignancies are tumors that develop here. The milk is transported to the nipple by ducts, which are tiny channels that emerge from the lobules. The most typical place for breast cancer to begin is here.
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an injury causing any restriction of normal activity beyond the day of the injury's occurrence is a(n): a. unintentional injury. b. fatal injury. c. disabling injury. d. fatal injury.
An injury is considered to be disabling if it prevents you from engaging in your usual activities for more than one day after the accident.
What are the top 5 inadvertent wounds?Automobile accidents, suffocation, drowning, poisoning, fire/burns, falls, sports, and recreational activities are some of the most typical unintentional injury kinds in the United States.
What kind of harm are considered unintentional?Accidents are not injuries since they may be prevented. Instead of being unpredictable, uncontrollable phenomena, injury incidents are predictable, avoidable occurrences with obvious causes. Accidents that cause injuries but weren't intended to do so are referred to as unintentional injuries.
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client vital signs reported by a licensed practical nurse are axilla temperature 37.4, pulse 90 beats per minute, respiratory rate 19 breaths per minute, and blood pressure 86 over 56 millimeters of mercury. what should the nurse check again?
The nurse should check the pulse rate and the axillary temperature again.
Between 96.6° (35.9° C) to 98° F (36.7° C) is considered a normal axillary temperature. Ordinarily, the oral (by mouth) temperature is one degree higher than the typical axillary temperature. For every degree of increase in temperature, the heart rate rises by around 10 beats per minute to accommodate increasing metabolic demands and counteract peripheral dilating effects. Thus, it has become 90 beats per minute because of rhe rise in temperature. To ensure this, the nurse should check the pulse rate or the axillary temperature again.
When a vital sign is abnormal, repeat the measurement to be sure it was taken accurately with the right tools for the patient. The patient's prescription history and history of recent over-the-counter medication use can be used to explain some abnormal vital signs or reveal concealed abnormalities.
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when teaching a group of nursing students about the liver, the nurse relates that kupffer cells function to remove harmful substances or cells from the portal blood and venous sinusoids through which process?
The nurse explains to a group of student nurses about the liver that kupffer cells work through the Phagocytosis process to remove unwanted cells or chemicals from of the portal blood as well as venous sinusoids.
Phagocytosis is indeed a biological mechanism for ingestion or inhalation and expelling objects with a diameter of more than 0.5 m, such as bacteria, foreign objects, and apoptotic cells. Since phagocytosis occurs in a wide variety of cell types, it is crucial for maintaining tissue homeostasis. phagocytes, a kind of living cell, devour or engulf another cells or particles through a process known as phagocytosis. An amoeba or other free-living single cell might make up the phagocyte, or it could be one of the body's cells like a white blood cell. Phagocytic cells identify encroaching bacteria by the evolutionarily old and receptor-driven process of phagocytosis, which kills them following internalization. Eater, a phagocytosis receptor that is only expressed on phagocytes from Drosophila.
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which resource(s) does the nurse utilize to identify the right client when administering medications? select all that apply.
The client's medication, allergy , and medical background must all be reviewed by the nurse.
The nurse should go over the client's medication, allergy, and medical history to prevent any potential issues. To make sure that the correct drug is administered at the proper time and by the proper route, the nurse should read and match the medication's label with the patient's medical record at least three times (before, during, and after preparing the medication). The drug must be given between 30 and 60 minutes prior to the planned time to be considered timely and in accordance with the doctor's recommendation. The safe preparation of drugs is encouraged by giving oneself enough time and few distractions.
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which type of pharmacologic therapy does the nurse anticipate administering to a client for treatment of a spastic bladder in order to decrease bladder hyperactivity?
The pharmacologic therapy nurse should anticipate administering to a client for treatment of a spastic bladder in order to decrease bladder hyperactivity is anticholinergic medications.
What is a bladder spasm?A bladder function issue that results in an unexpected urge to urinate.
Although it can happen in men, overactive bladder typically affects women. Risk factors include getting older, diabetes, and an enlarged prostate.
The need to urinate could be difficult to suppress and result in unintentional urine leakage (incontinence). It could be humiliating or restrict activity.
Exercises for the pelvic floor muscles, prescription drugs, and nerve stimulation are some treatments that can lessen or get rid of symptoms.
What triggers bladder spasms?Constipation can result in bladder spasms in addition to OAB and UTIs. excessive use of alcohol or coffee. Several drugs, including furosemide and bethanechol (Urecholine) (Lasix).
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a child who has been in good health has a platelet count of 45,000/mm3, petechiae, and excessive bruising that covers the body. the nurse is aware that these signs are clinical manifestations of which disease?
Clinical signs of immune thrombocytopenic purpura (ITP), which is caused by low platelets, include excessive bruising and petechiae, particularly on the gums and mucous membranes in a kid who is otherwise healthy.
Pallor, lethargy, headaches, dizziness, and a history of an upper respiratory infection are some of the clinical signs of erythroblastopenia. Clinical signs of von Willebrand diseases include nosebleeds, prolonged bleeding from incisions, and excessive bleeding following trauma or surgery. The clinical symptom of hemophilia is bleeding, which is caused by a lack of the normal factor activity required for blood clotting. The clinical signs of ITP, which are caused by low platelets, include excessive bruising & petechiae, especially on the gums and mucous membranes in a kid who is otherwise healthy. Although the cause of ITP is uncertain, it is thought to be an inflammatory process.
(A child who has been in good health has a platelet count of 45,000/mm3, petechiae, and excessive bruising that covers the body. The nurse is aware that these signs are clinical manifestations of
a. a.Erythroblastopenia
b. b.von Willebrand disease
c. c.Hemophilia
d. d.Immune thrombocytopenic purpura (ITP))
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the nurse in a long-term care facility is caring for a newly admitted client who hasa decreased attention span and cannot concentrate. which type of response to sensory deprivation is the client exhibiting?
The client is displaying a form of cognitive response to sensory deprivation.
What is cognitive response?Cognitive reactions are ideas that come to mind as we are listening to someone speak. Decoding a message is not the same as responding cognitively. The term "decoding" describes an entirely other procedure. Decoding involves translating auditory or visual cues back into language. Our unique reactions or ideas to such messages after we have deciphered them are referred to as our cognitive responses. Our cognitive reactions can be in line with the message if we are particularly interested in the subject. Responses that are pertinent to the message concentrate on refuting claims or providing further proof for a particular viewpoint. Our cognitive reactions might not be highly message-relevant if we are not engaged in the subject. In a nutshell, our cognitive reactions are the ideas we have when listening to other people's communications.
Reading, watching television, listening to the radio, and using the internet all trigger cognitive reactions.
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Anthony has secretly been taking anabolic steroids to improve his athletic performance. Which of the following is a side effect that might tip off his friends and teammates that he has been abusing steroids?A) He is no longer aggressive or violent.B) His skin is remarkably free of acne.C) He has noticeably grown breasts.D) His cholesterol levels have never been lower.
Option C is the correct answer.
Anabolic steroids are prescription-only medicines that are sometimes taken without medical advice to increase muscle mass and improve athletic performance.
If used in this way, they can cause serious side effects and addiction.
Anabolic steroids are manufactured drugs that copy the effects of the male hormone testosterone. They have limited medical uses and are not the same as corticosteroids, a different type of steroid drug that's more commonly prescribed.
Side effects include:-
1. reduced sperm count
2. infertility
3. shrunken testicles
4. erectile dysfunction
5. hair loss
6. breast development
7. increased risk of prostate cancer
8. severe acne
9. stomach pain
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a nurse is working in a clinic where a family member's spouse is treated for a sexually transmitted disease. the nurse is concerned about the risk to family members. what is the most appropriate action for the nurse to take?
Encourage the client, if they haven't already, to discuss the diagnosis with the family member. The nurse has no choice but to suggest that the client speak with his spouse.
How are diagnostics and diagnoses different from one another?Diagnoses is the plural form; it is pronounced [dahy-uhg-noh-seez]. The verb for this is diagnose. The term "diagnose" can refer to either an ailment or a patient, but both terms indicate the same thing—to diagnose is to determine what particular condition the patient is dealing with.
What makes a diagnosis significant?Any type of therapy you might get, from medication to surgery, will be based on your diagnosis. A correct diagnosis is essential to avoid wasting time on the incorrect course of treatment. The patient is a key component in making the right diagnosis.
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as much as 80 percent of the risk for cancer is related to lifestyle or environmental factors. group of answer choices true false
The bulk of cancer deaths associated with recognised risk factors are caused by tobacco use, infectious diseases, poor food, excessive body weight, physical inactivity, and alcohol use.
Does lifestyle have an impact on cancer?
The various studies that have been conducted on the potential causes of CA (cancer) have shown that many intrinsic and extrinsic variables can contribute to its development and occurrence. The external factors that have received the most attention include cigarettes (lifestyle choices) and their connection to the development of pulmonary CA in smokers, as well as bricklayers' high occupational exposure to asbestos (workplace exposure), a material that is frequently used in the production of sheets and which, among other things, causes stomach and lung CA.
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before administering an antihistamine to a patient, it is most important for the nurse to assess the patient for a history of which condition?
Arrhythmias. Because fatal cardiac arrhythmias have been linked to the use of specific antihistamines and medications that lengthen QT intervals, including erythromycin, extra caution should be used when these medications are administered to any patient who has ever experienced an arrhythmia or a prolonged QT interval.
What conditions should not be used with antihistamines?Antihistamines should not be used if you have hypertension, cardiovascular disease, urine retention, or elevated ocular pressure.
Which instruction should a patient who is taking an antihistamine follow?For people ingesting this medication: If necessary, antihistamines can be taken with food, a glass of water, or milk to lessen gastrointestinal irritation. If you're taking this medication in the form of extended-release tablets, swallow the tablets whole. Never chew, break, or crush anything before swallowing.
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which actions should the nurse perform when administering an im (intermuscular) injection? (select all that apply. one, some, or all options may be correct.)
When giving fluticasone propionate to an asthmatic patient, the nurse would rinse the oral cavity with water afterward.
What is the purpose of the mouth cavity?The oral cavity, also known as your mouth, is an oval-shaped aperture in your skull. From the lips to the throat, it runs. It's crucial for several biological processes, including speech, breathing, and food digestion. Tissues in a healthy lip are pink, moist, odorless, and painless.
What's the make-up of the oral cavity?The lips, gingivae, teeth, retromolar trigone, floor of the mouth, facial tissue, mobile tongue, and oral cavity floor are all parts of the oral cavity. Despite not being a member of the oral cavity, the major oral glands are closely related to the anatomy of the nasal cavity.
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the nurse is slowly advancing a nasogastric (ng) tube when the client begins to gasp and is unable to vocalize. which scenario has likely occurred?
The nurse is slowly advancing a nasogastric (ng) tube when the client begins to gasp and is unable to vocalize. The patient's airway contains the NGT.
What is nasogastric tube ?A tube that is put into the stomach through the nose, then down the neck and esophagus. It can be used to remove items from the stomach as well as to administer medications, liquids, and liquid food. Enteral nutrition refers to feeding someone through a nasogastric tube.
The single-lumen Levin and double-lumen Salem's sump NG tubes are the two most widely used varieties. The double-lumen sump tube is suitable for continuous lavage or irrigation of the stomach, whereas the single-lumen tubes are best for decompression. Both can be applied to either goal.
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a client presents at the primary health care provider's office with complaints of a ringlike rash on the upper leg. which question would the nurse ask first?
The nurse should ask the client if he has been camping the last month or any nearby weeks.
What does ring like structure on the upper leg indicate?The fungal condition known as ringworm leaves your skin with a circular, ring-like appearance.
In warm, wet parts of the body, jogger's itch (tinea cruris) is a fungal infection that results in a red, itchy rash. The rash frequently appears on the inner thighs and groin and may resemble a ring. Because it affects so many athletes, jock itch has earned its name. Those who sweat a lot or are overweight are likewise more likely to experience it.
A ring-shaped rash that is itchy, scaly, and slightly elevated is frequently caused by ringworm. Typically, the rings begin small and then spread outward. A rash known as ringworm of the body (tinea corporis) is brought on by a fungus.
The rash is typically round and irritating, with clearer skin in the center.
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a child is hospitalized with nephrotic syndrome. which measurement is best for the nurse to determine the child's edema?
Pallor, edema, anorexia, and proteinuria are among the assessment results that the nurse should be prepared to see. Also, the nurse should keep checking the eye to measure the child's edema.
How nephrotic syndrome causes edema in children?The term "nephrotic syndrome" refers to a kidney disorder in which an excessive amount of protein is excreted in the urine due to damaged renal blood vessels. Nephrotic syndrome typically results from damaged glomeruli that permit excessive protein leakage from blood into urine.
Edema is a term for swelling in the body tissues brought on by an accumulation of fluid; it most frequently affects the face, eyelids, feet, ankles, and abdomen. The loss of albumin through the urine and too much sodium are the two main causes of edema.
The most typical symptom of pediatric nephrotic syndrome is swelling around the eyes.
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the older adult with diabetes mellitus may present manifestations of hypoglycemia that differ from the classic symptoms of tachycardia, restlessness, and anxiety. what symptom might indicate hypoglycemia in the older adult?
The older adult with diabetes mellitus may present manifestations of hypoglycemia and anxiety. Confusion symptom might indicate hypoglycemia in the older adult
When the amount of sugar (glucose) in your blood falls too low, the condition is known as low blood sugar, commonly referred to as hypoglycaemia or a "hypo." It mostly affects diabetics, anxiety particularly if they use insulin. If not treated right away, that differ from the classic symptoms of tachycardia, restlessness, low blood sugar hypoglycaemia can be dangerous, but you can usually anxiety take care of it on your own.
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a client will be receiving a bone graft from an unrelated individual. which type of graft does the nurse inform the client that he or she will be receiving?
The nurse needs to inform the client that he or she will be receiving Allograft.
What is allograft ?A tissue allograft is a transplant of tissue from one member of the same species to another. For instance, an allograft that is given to the recipient in an allotransplantation is a liver from one person.
Allografts are utilized in a variety of operations to reduce pain, restore limb function, save lives, and enhance patient quality of life. dental surgery, plastic surgery, neurosurgery, and orthopedics.
Graft fractures (28% and 29% of patients, respectively) and subluxation (32% and 29% of patients, respectively) were the most frequent complications in the proximal and distal allograft groups. The most frequent outcomes (both 23%) in the intercalary allograft group were nonunion and hardware failure.
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the clinic nurse is preparing to explain the concepts of kohlberg's theory of moral development with a parent. the nurse should tell the parent that which factor motivates good and bad actions for the child at the preconventional level?
The preconventional level provides the reasoning, the child uses external and physical events (such as pleasure and pain) as the source for decisions about moral rightness or wrongness, his standards are based strictly on what will avoid punishment or bring pleasure.
Lawrence Kohlberg was inspired by Jean Piaget’s work on moral judgment to create a stage theory of moral development in childhood.
The theory includes three levels and six stages of moral thinking. Each level includes two stages. The levels are called preconventional morality, conventional morality, and postconventional morality.
Since it was initially proposed, Kohlberg’s theory has been criticized for overemphasizing a Western male perspective on moral reasoning.
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a facility refuses to let a resident administer their own medication even though an assessment indicates they are capable of doing so. which right does this violate?
Residents who are able to administer their prescriptions on their own without help should be encouraged to do so.
What actions can organizations take to encourage residents to take charge of their own lives?Tell them everything you know about your health. A resident has the following rights on the most recent Medicare and Medicaid compliance rating of a facility: the survey report can be seen.
How can you promote active involvement in care?One strategy to enable the service user to actively participate is to involve them in the planning and execution of their own care and support. By removing any barriers to communication, they should be able to express their preferences and decide how and when their care will be provided.
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a client with diabetes mellitus has a prescription for 5 units of u-100 regular insulin and 25 units of u-100 isophane insulin suspension (nph) to be taken before breakfast. at about 4:30 p.m., the client experiences headache, sweating, tremor, pallor, and nervousness. what is the most probable cause of these signs and symptoms?
A client with diabetes mellitus experiences headache, sweating, tremor, pallor, and nervousness, these are due to serum glucose level less then 70.
Diabetes mellitus refers to a bunch of diseases that have an effect on however the body uses blood glucose (glucose). Glucose is a very important supply of energy for the cells that frame the muscles and tissues. It is also the brain's main supply of fuel. the most reason for diabetes varies by kind.
The glucose serum is that the simplest and most direct single check offered to check for diabetes. The check measures the number of glucose within the fluid portion of the blood. It's referred to as a “serum” check thanks to this fluid portion of the blood. There are multiple elements to the blood.
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a client at a health care facility is being treated for cancer of the bladder. the physician uses a urinary diversion to help the client with urinary elimination. what describes a urinary diversion?
When urine flow is obstructed or when it is necessary to get around a diseased part of the urinary system, a surgical technique called urinary diversion establishes a new pathway for pee to leave your body.
The ureters are surgically inserted somewhere else, either one or both. Your body's drainage system for getting rid of urine, which is made up of waste and surplus fluid, is called the urinary tract. Urine should pass from your kidneys through your ureters, bladder, and urethra before leaving your body. The urine may accumulate in your bladder, ureters, or kidneys when it is unable to flow regularly. This accumulation of urine may result in discomfort, renal failure, urinary tract infections, calculi or stones, damage to the urinary system, or all of the above. A accumulation of urine in the urinary system can be fatal if addressed.
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which communication strategy would be used by the nurse when working with a client experiencing substance withdrawal delirium?
The nurse should employ the following communication techniques when working with this client: helping the customer develop self-control.
What are the four different sorts of communication tactics?Passive, aggressive, passive-aggressive, and forceful are the four fundamental communication styles. It's critical to comprehend each communication method and the reasons behind its utilization.
What is the best illustration of therapeutic dialogue?When the same nurse explains why they are carrying out the tasks and inquires about the patient's concerns or questions, speaks in a friendly and welcoming manner, and conveys through body language that the patient's opinions are respected, that is an example of therapeutic nursing communication.
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a 69-year-old male with a history of alcohol abuse presents to the er after a month-long episode of headaches and confusion. based on his alcoholism, a likely cause of his neurologic symptoms is:
Chronic subdural hematoma is the correct option
What is Chronic subdural hematoma?
A long-standing blood clot on the surface of the brain beneath its outer coating is known as a chronic subdural hematoma (SDH).
Patients with brain atrophy, or the shrinking or wasting away of brain tissue as a result of age or disease, are most likely to develop these liquid clots when they are 60 years of age or older. Minor head trauma can tear blood vessels over the brain's surface as the brain shrinks inside the skull over time, which can lead to a steady buildup of blood over several days to weeks.
Symptoms:
Up to 80% of patients report having a headache as their primary complaint. Lethargy, memory loss, disorientation, weakness, nausea, vomiting, decreased vision, and seizures are some other symptoms.Large hematoma patients may experience varied degrees of paralysis and unconsciousness.In addition to dementia, stroke, transient ischemic attacks, encephalitis, and various brain lesions like tumors or abscesses, a chronic subdural hematoma can also mimic a number of other brain diseases and disorders.Hence, Chronic subdural hematoma is the correct answer
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a client has a risk for skin breakdown due to incontinence. which nursing actions for the client will help with decreasing this risk? select all that apply.
In individuals with fecal and/or urine incontinence, dermatitis associated with incontinence—a clinical symptom of moisture-related skin damage—is frequently taken into account.The prevalence rate among hospitalized patients has been shown to be as high as 27%.
How may incontinence-related skin deterioration be treated?Think about applying a moisture barrier or skin sealant.A barrier of protection is created on the skin by creams or ointments containing petrolatum, lanolin, or zinc oxide.Some skin care treatments coat the skin with a transparent, protective film, frequently in the form of the a spray or even a towelette.
What nursing interventions are there?These include evaluation, planning, implementation, diagnosis, and assessment.
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a nurse is providing discharge teaching to a client who has a new prescription for fluoxetine (prozac) for post traumatic stress disorder. which of the following statements should the nurse include in the teaching?
the statement of a client who has a new prescription for fluoxetine (prozac) for post-traumatic stress disorder that the nurse must include in the teaching is "I will take this medication before going to work."
Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) antidepressant drug that works by increasing the natural substance serotonin in the brain. Serotonin is a neurotransmitter that is responsible for regulating emotions, sleep, and appetite. When the number of serotonin increases, emotional disorders, and mental disorders can also be overcome.
Things to note before taking fluoxetine do not drive a vehicle or do activities that require alertness after taking fluoxetine because this drug can cause drowsiness.
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the use of multiple prescription drugs by a single patient, causing the potential for negative effects such as overdosing or drug interaction, is called
The use of multiple prescription drugs by a single patient, causing the potential for negative effects is called Inappropriate polypharmacy.
What is Inappropriate polypharmacy ?
Polypharmacy may or may not be necessary. It may not be appropriate for a variety of reasons, such as prescribing more medications than necessary, medications with unfavorable side effects, or medications in combination that have negative drug-drug and drug-disease interactions.
A definition of polypharmacy that acknowledges the use of both appropriate and inappropriate pharmaceuticals would read, for instance, "polypharmacy extends from the use of a high number of medications to the use of possibly inappropriate medications, medication underuse and duplication."
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It's the law. Under New York law, you can get a citation for riding your bike while listening to music using headphones or earbuds in both ears. It is lawful, however, to listen to music with only one earbud keeping the other ear free.
Sensory deprivation. One of the main ways that people alert each other to danger on the road is through sound. Whether it's honking, yelling or ringing a bicycle bell, you're less likely to hear any of these warnings if you're listening to music putting you at higher risk of an accident.
Decreased attention. The more stimuli you have to contend with, the more difficult it is to dedicate your full attention to one particular task. If you get caught up in a song or story you're listening to while cycling, it can increase your distractibility which could have disastrous consequences.
The majority of cycling-related accidents involve a cyclist and a motor vehicle. Not surprisingly, the injuries a cyclist suffers in such collisions tend to be disproportionately serious and often fatal. Therefore, if you're cycling in traffic, foregoing the headphones can prove to be a life-saving decision.
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the client has just been diagnosed with bladder cancer and asks the nurse what causes it. what would be the nurse's best response to the client?
When a tumor—a development of abnormal tissue—forms in the bladder lining, the condition is referred to as bladder cancer.
Can bladder cancer typically be cured?cancer's stage (whether it is superficial or invasive bladder cancer, and whether it has spread to other places in the body). The prognosis for early bladder cancer is frequently favorable.
Who is most susceptible to bladder cancer?The primary risk factor for bladder cancer. Smokers are at least three times more likely than non-smokers to develop bladder cancer. About half of all bladder malignancies are caused by smoking.
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the nurse is assessing a client admitted with a deep vein thrombosis with an elevated red blood cell count. the admitting diagnosis is polycythemia vera. what is the hallmark clinical sign of pv?
Answer:
splenomegaly
Explanation: