Congestive heart failure is the cause of the larger cardiac silhouette in this picture. For treating and controlling hypertension, a variety of medications are available.
What distinguishes a diagnosis from a diagnosis?Diagnoses, which is pronounced (dahy-uhg-noh-seez), is the plural form. Diagnose is the verb form. The term "diagnosis a person" can also apply to an illness. To diagnose is to give a diagnosis of what specific ailment the patient is experiencing.
What categories of diagnostic are there?Clinical evaluation. a diagnosis given without the use of diagnostic tests and based instead on symptoms and medical signs. diagnostic testing at a lab. a diagnosis that relies more on test or laboratory results than it does on a patient's physical examination.
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which action should the nurse take to monitor the effects of an acute stressor on a hospitalized patient? (select all that apply.)
Acute stress disorder is a severe, unpleasant, and dysfunctional reaction that occurs shortly after a traumatic event and lasts less than a month. Many people have experienced acute stress, a dramatic physiological and psychological reaction to a specific event, at some point in their lives. Chronic stress, on the other hand, is a long-term feeling of being pressured and overwhelmed.
The autonomic nervous system is activated during an acute stress response, and the body experiences increased levels of cortisol, adrenaline, and other hormones, resulting in an increased heart rate, faster breathing rate, and higher blood pressure.
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a patient has begun smoking again and drinks six alcoholic beverages per day since experiencing the loss of his job. the nurse recognizes that the patient is exhibiting symptoms of which type of stress?
The patient is showing Signs and symptoms of behavioral stress including smoking, overeating, and substance abuse.
Excessive smoking, substance abuse, and sleep issues are considered to be behavioral indicators of stress.
The following behavior-related stress symptoms should be mentioned: increased drinking, smoking, employment turnover, modifications to productivity, and alterations to eating habits.
When someone who doesn't regularly drink alcohol or smokes before taking alcohol begins to do so, it is referred to as behavioral symptoms of stress. This situation's stress results in a change in conduct.
The complete question is:
A patient has begun smoking again and drinks six alcoholic beverages per day since experiencing the loss of his job. the nurse recognizes that the patient is exhibiting symptoms of which type of stress?
a) Psychological
b) Emotional
c) Physiological
d) Behavioral
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he nurse is caring for a client who underwent a kidney transplant. what medication does the nurse expect to administer?
The nurse should expect to administer Cyclosporine (Sandimmune).
Kidney disease, also known as renal disease or nephropathy, is the damage or disease of the kidney. Nephritis is an inflammatory kidney disease that is classified into several types based on the location of the inflammation. Blood tests can be used to diagnose inflammation. Nephrosis is a type of kidney disease that is not inflammatory.
Nephritis and nephrosis can result in nephritic and nephrotic syndromes, respectively. Kidney disease usually results in some loss of kidney function and can lead to kidney failure, which is the complete loss of kidney function. Kidney failure is the final stage of kidney disease, and the only treatment options are dialysis or a kidney transplant.
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the symptoms of neurodevelopmental disorders typically begin during which period of the lifespan?
Children with neurodevelopmental issues can revel in problems with language and speech, motor skills, behavior, memory, learning, or different neurological functions.
While the signs and behaviors of neurodevelopmental disabilities frequently extrude or evolve as a baby grows older, a few disabilities are permanent. The issues normally take place early in development, frequently earlier than the kid enters grade school, and are characterized with the aid of using developmental deficits that produce impairments of personal, social, academic, or occupational functioning. Generalized anxiety disorder has symptoms that are similar to panic disorder, obsessive-compulsive disorder and other types of anxiety, but they're all different conditions.
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the nurse is a member of a panel discussing the optimal type of weight loss. when the panel members ask the audience to identify the most important factor affecting weight loss, which response indicates the discussion was effective?
The nurse is a participant on a panel debating the best method of weight loss, name the most crucial aspect influencing weight reduction, the panel members reply, "Weight loss is depending on the quantity of calories ingested."
The most efficient way to lose fat and develop lean muscle is through moderate activity weight loss and a nutritious diet calories . You should eat more modest, balanced meals with lots of fruit and vegetables and exercise every day in accordance with ACSM recommendations. Describe common misunderstandings regarding programs for quick weight loss and spot reduction. Regular exercise is the best indicator of maintaining weight reduction following a commercial weight-loss program.
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An emergency technician had recorded vital signs prior to the __________ receiving medical care.
An emergency technician had recorded vital signs prior to the patient receiving medical care.
An emergency medical technician is the person who is responsible for taking the patient to the hospital in case of any emergency or severe condition. He is generally termed as an ambulance technician. Along with taking the patient to the hospital he has several other responsibilities which include taking care of the patient's vital signs, his blood pressure, his pulse and also the condition of the patient. He is the only person who is responsible for the state of patient until the patient reaches the hospital. If anything goes wrong, he will be held responsible for the cause. Every household has the contact of these Emergency technicians.
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a nurse is teaching a client about the use of a pca infusion pump. the nurse determines the teaching is successful when the client correctly indicates which factor about the system?
The control button of pca infusion pump activates administration of the drug. By pushing a portable button, a computerized pump linked to the IV allows you to release pain medication.
After surgery, PCA infusion pump can be used in hospitals to reduce pain. Or it can be used to treat agonizing conditions like pancreatitis and sickle cell disease. Additionally, it is effective for those who are unable to swallow pills. Anytime the patient feels discomfort, they can utilize the pump. Patients who feel too tired should refrain from pressing the machine's button. The likelihood that a patient would participate in a therapy program to speed up and maybe shorten healing depends on how vigilant they are.
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. communicating honestly and consistently in cases of public health and crisis communication involves providing the public with answers to three key questions. which of the following is not one of those questions? when will the crisis end? where can i find trustworthy information? what do i need to know? what should i do and not do?
when will the crisis end? -is not one of those questions.
Define crisis communication.
An individual, business, or organization facing a public challenge to its reputation can be protected and defended by using crisis communication, a subspecialty of public relations. A specific type of threat, its severity, potential effects, and specific actions to adopt to lessen the threat are all things that are intended to be made more widely known through crisis communication.
Planning strategically for public health crisis communication enables authorities, such as public health professionals, government researchers, and scientists, to create and convey effective messaging when knowledge is scarce, out-of-date, or changing quickly.
Three key questions are:
1. What do I need to know, first?
2. What should I do or not do to safeguard my health and that of my family?
3. Where can I find trustworthy, clear information?
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when documenting observations of the behaviors exhibited by a client diagnosed with borderline personality disorder, the nurse can correctly use which terms?
When documenting observations of the behaviors exhibited by a client diagnosed with borderline personality disorder, the nurse can correctly use Impulsive, self-destructive, unstable.
You may have an extreme fear of abandonment or instability if you have borderline personality disorder, and you may find it difficult to tolerate being alone. Even if you wish to have meaningful and lasting relationships, improper anger, impulsiveness, and frequent mood swings may drive others away.
Patients with BPD have high levels of emotional reactivity, impulsivity, repeating self-destructive behaviors, inappropriate amounts of rage, intense and unstable connections with others, and a sense of emptiness and bewilderment about their own identities.
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52. arthritis is usually caused by . a.a steep drop in estrogen b.a sedentary lifestyle c.longtime use of the joints d.a diet low in protein
Arthritis is usually caused by the longtime use of the joints. Thus the correct answer is option (C).
Arthritis may cause one or more joints to swell and ache. The basic symptoms of arthritis, which often worsen as people age, are joint stiffness and pain.
The main cause of arthritis is joint inflammation. Age-related osteoarthritis commonly affects the hip, knee, and fingers. Joint injury can occasionally cause osteoarthritis.
As a result, rheumatoid arthritis manifests, leading to painful and swollen joints. Rheumatoid arthritis causes the immune system to assault the joint membrane. The musculoskeletal system of the body is impacted by rheumatoid arthritis.
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in which settings would the nurse prepare to administer developmental assessment for pediatric clients? select all that apply
Pediatric developmental assessments are performed in many settings, including the home, school, hospital, and daycare center environments. It is unlikely that a pediatric developmental assessment would be performed in an assisted living center.
A developmental assessment for children under the age of three aims to evaluate various aspects of the child's functioning, such as cognition, communication, behavior, social interaction, motor and sensory abilities, and adaptive skills.
For example, one could administer a test at the start of a class and then ask the same students to take the same test at the end. An instructor could determine students' developmental levels by comparing their performance on pre- and post-tests.
The process of mapping a child's performance in comparison to children of similar age is known as developmental assessment. The comparison group is drawn from a representative sample of the child's population. Several factors contribute to performance differences between population groups.
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abnormal crackle-like lung sounds heard through a stethoscope during inspiration.
Abnormal crackle-like lung sounds heard through a stethoscope during inspiration is called Rales or Crepitation
Crepitation is another term for rales or crackles. They come and go, and they are frequently sounds that are most noticeable when you inhale. The sounds, that have been explained as clunky, rattling, crackling, clinking, or popping, happen whenever the smaller airways open unexpectedly during inspiration.
Crepitations in the lungs is a sound and sensory perception affiliated with subcutaneous emphysema, a disorder in which air becomes trapped beneath the skin. When air is pushed through the soft tissue in the chest, it can cause a palpable or audible popping, crackling, grating, or crunching sensation. Crackles or crepitations are brief, explosive sounds heard on auscultation of the chest. They can be fine or coarse in texture, and they can be resolved by coughing
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a client with borderline personality disorder has been admitted to the inpatient unit after being found in the client's parents' bedroom, burning the client's arm with an iron. this injury required a brief stay in the hospital's burn unit prior to transfer to your psychiatric unit. which is the nursing care priority for this client during the first 24 hours of admission?
Answer: Protection from self-mutilation
after receiving a painful shot from a female nurse in a white uniform, 3-year-old vaclav is fearful of any woman wearing a white dress. vaclav's reaction best illustrates
After receiving a painful shot from a female nurse in a white uniform, 3-year-old vaclav is fearful of any woman wearing a white dress. vaclav's reaction best illustrates generalization.
Fear is a highly unpleasant emotion that responds to perceiving or recognizing danger or threat. Anxiety causes physiological changes that lead to behavioral responses such as: B. Aggressive reaction or flight from threat.
Anxiety can arise in people in response to specific stimuli currently occurring or in anticipation or anticipation of future threats perceived as risks to themselves. The fear response arises from the perception of danger leading to confrontation or flight/avoidance from the threat (also known as the fight-or-flight response). In case of extreme fear (fear or fright), freezing may occur. reaction or paralysis.
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a new client arrived on the unit while the nurse was obtaining the end-of-shift report from the night nurse. this client is admitted walking and is here for a cardiac workup; the client is assigned to the nurse. the nursing assistant has settled the client in the room and oriented the client to the surroundings, call system, bathroom, bedside supplies, and where to place clothes. the priority nursing action is to:
Information gathering and finishing the admission database are the top nursing priorities of the nurse.
Before putting any of the life-saving actions for which nursing school trains us into action, the nurse's first duty is to assess, diagnose, and then plan how to manage their patients, according to the nursing process. The first three stages are essential to everyday nursing success, especially given that the average medical-surgical nurse is expected to manage six or more patients on a daily basis. Even a new nurse can determine which issues require nursing priority care by methodically and rationally examining the patient and their diagnosis while taking into account numerous perspectives. Getting all the necessary data is the initial stage in the prioritizing process.
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a soft toric lens is orienting nasally in the patient's left eye. to calculate lens rotation correctly, what should the fitter do?
In order to calculate lens rotation correctly, the fitter should add the number of degrees of rotation to the patient's refractive axis.
Toric contact lenses correct astigmatism caused by a different curvature of your cornea or lens in your eye (referred to as regular astigmatism, corneal astigmatism or lenticular astigmatism).
The design of toric lenses differs significantly from regular lenses. In contrast to regular lenses, which have a single power throughout the lens, toric lenses have two different powers: one for astigmatism and one for trouble with distance vision.
Fitting a patient for toric contacts requires more expertise than fitting a patient for regular lenses. As a result, a toric lens fitting may be more expensive than a standard contact lens fitting. Because torics are more complex in design, they will cost more to replace than most regular contacts.
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a nurse is teaching her client about cyclosporine therapy following a recent liver transplant. what statement by the client indicates further teaching is needed?
A nurse is teaching her client about cyclosporine therapy following a recent liver transplant. This statement nurse use, I can take this drug with any fluid as long as it is at the same time every day.
Cyclosporine is used together with other medicines to prevent the body from rejecting a transplanted organ, eg, kidney, liver, or heart. It belongs to a group of medicines known as immunosuppressive agents.
Some cancers become resistant to chemotherapy drugs. Combining cyclosporine with chemotherapy may prevent resistance to the drugs and allow the cancer cells to be killed.
Cyclosporine is an immunosuppressive agent used to treat organ rejection post-transplant. It also has use in certain other autoimmune diseases, treatment of organ rejection in kidney, liver, and heart allogeneic transplants, rheumatoid arthritis when the condition has not adequately responded to methotrexate.
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an older client transferred from a nursing home presents to the emergency department in an agitated state. the nurse is unable to obtain a coherent response to any questions posed. what is the best nursing action?
An elderly patient moved from a nursing home arrives in an agitated state at the emergency room. To protect the safety, the optimum nursing action is to confine the client.
Medicate the client to make them sleepy. Examine the drug profile file. Ensure that all side rails are raised.
Extreme arousal in an uncomfortable state is called agitation. A person who is agitated may feel roused, enthusiastic, nervous, perplexed, or impatient. Agitation is a feeling of tension and unease inside. You can become quickly irritated or feel the need to get up and move around when it happens. It's a typical feeling. But when you're under a lot of stress, it's more likely to appear. It may also occur if you consume illicit substances or stop drinking alcohol. It may be triggered by deeds, remarks, occurrences, or, in rare situations, for unknown reasons. Even though feeling irritated from time to time is common, such as in response to stress from work or school, it can also occasionally be a symptom of a deeper physical or mental health issue.
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a client needs to be administered topical anesthesia. the nurse would administer the anesthetic at which location?
The nurse would administer the anesthetic on the surface of the skin.
Anesthesia is a controlled, temporary loss of sensation or awareness used for medical or veterinary purposes. It may include some or all of the following symptoms: analgesia, paralysis, amnesia, and unconsciousness. An individual who is under the influence of anesthetic drugs is said to be anesthetized.
Anesthetic medications can remain in your system for up to 24 hours. If you've had sedation, regional or general anesthesia, you shouldn't drive or return to work until the drugs have cleared your system. You should be able to resume normal activities after local anesthesia, as long as your healthcare provider says so.
Using either injected or inhaled drugs, general anesthesia suppresses central nervous system activity, resulting in unconsciousness and total loss of sensation.
Sedation suppresses the central nervous system to a lesser extent, inhibiting anxiety and the formation of long-term memories without causing unconsciousness.
Regional and local anesthesia, which prevents nerve impulses from leaving a specific part of the body. Depending on the circumstances, this may be used alone (in which case the patient remains fully conscious) or in conjunction with general anesthesia or sedation. Drugs can be directed at peripheral nerves in order to anesthetize a specific part of the body, such as numbing a tooth for dental work or using a nerve block to block sensation in an entire limb.
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which contagious disease creates a primary skin lesion that is a pinpointed macule, papule, or wheal with hemorrhagic puncture site? a. tinea capitis b. pediculosis c. rubeola d. scabies
Option (b) is correct i.e. pediculosis, contagious disease creates a primary skin lesion that is a pinpointed macule, papule, or wheal with hemorrhagic puncture site.
Most infections of head lice i.e. pediculosis are symptomless. When symptoms are present, there may be irritation, a tickling sensation as though something is moving in the hair, and itching due to an allergic reaction to louse saliva. One potential source of problems is secondary bacterial infection. The pathogens that cause Bartonella quintana, Rickettsia prowazekii, and Borrelia recurrentis body lice are a vector for (louse-borne relapsing fever). The most common way that head lice are transmitted is through contact with an infected person (i.e., head-to-head contact). During play (sports, playgrounds, summer camp, and sleepovers), at home, school, and in the community, there is frequently contact. Less frequently, it is possible for flies to transmit head lice (more common with body lice). Transmission can also occur if you use infected combs, brushes, towels, or if you lie on a bed, couch, pillow, carpet, or stuffed animal that has recently come into contact with an infected person.
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the charge nurse in a psychiatric facility is assigning morning tasks to an unlicensed assistive personnel (uap). what task should the nurse instruct the uap to complete first?
The charge nurse in a psychiatric facility assigns morning tasks to unlicensed assistive personnel (UAP). The nurse instructs the UAP to complete first to Obtain a morning weight on the anorexic client.
Every morning at the same time, on the same scale, and while wearing the same clothes, a precise daily weight is taken. For the anorexic client, accuracy of this operation is especially important, and it should be done before breakfast. The nurse will also caution the UAP to be especially watchful for any attempts by the client to change the scale reading, maybe by concealing anything in a bathrobe pocket.
Hence, nurse should carry out task in sequential order.
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a patient appears restless, and is grimacing and moaning after surgery. the patient denies the need for pain medication at this time. what is the best response by the nurse?
Inform the patient of the value of efficient pain control.
What information about a patient's suffering should the nurse record?It is crucial to record the following: understanding of the pain scale by the patient. Describe the patient's capacity to evaluate pain on a scale of 0 to 10. The contentment of the patient with the amount of pain under the current treatment method.
What role do nurses have in relieving patients' pain?No matter the patient's distinctive traits, beliefs, or values, all nurses have an ethical duty to treat every patient in pain with respect and individuality.
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a patient has a colles fracture reduced, a large plaster cast is placed on the upper limb. the orthopedic surgeon orders a post reduction study. the original technique, used before the cast placement, involved 60 kvp and 5 mas. how should the exposure factors be altered with a large plaster cast?
Increase to 68-70 kV exposure factors be altered with a large plaster cast
Your musculoskeletal system is made up of your muscles, joints, ligaments, tendons, and bones. These bodily components are so crucial to daily activity that it is typical to have discomfort in them.
The medical specialty that focuses on addressing these conditions is orthopedics. A physician who specializes in this area is known as an orthopedist, orthopedic surgeon, or orthopedic physician. They are qualified to detect and treat problems utilizing different methods in addition to doing surgery.
A trained orthopedic surgeon can identify orthopedic issues, provide or recommend treatments, and help with rehabilitation. They can also assist you in creating long-term plans for treating conditions affecting your bones, joints, ligaments, tendons, and muscles.
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client has a motor vehicle accident and is diagnosed with a right hip dislocation. for which intervention should the nurse anticipate needing to prepare this client?
A client has a motor vehicle accident and is diagnosed with a right hip dislocation. The client will need emergency intervention to reduce the fracture and prevent complications.
Hip dislocation is typically brought on by auto accidents. When it comes to newborns, congenital joint looseness may be the cause of this issue. Hip dislocations are more likely to occur again after the first one. There might be a visible hip misalignment, discomfort, and swelling. Leg discomfort, tingling, or numbness are possible. The bone must be manually pushed into position or surgically set, and rehabilitation is also necessary as soon as possible.
The hip's ball joint slipping out of its socket causes hip dislocation, a painful condition. Typically, a severe traumatic injury is a cause. (Artificial hip implants are a little bit simpler to dislocate.)
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your pt is unresponsive 44 y/o found indoors after working in the garden on a hot day. her vitals are r 32, p 128, 88/56 with hot, dry skin. you should a. cover the pt with ice and transport to a trauma center b. administer o2 via nc c. place a wet sheet over her and fan vigorously (i think this is a mistake) d. administer o2 via simple face mask
Her vitals are r 32, p 128, 88/56 with hot, dry skin. you should Place a wet sheet over her and fan vigorously (I think this is a mistake).
Why are the vitals important?Vital signs are indicators of the body's more fundamental processes. The following are the four primary vital signs that doctors and other healthcare personnel regularly check: Temp. of the body Pulse rate rate of breathing (rate of breathing).
The top five vital signs are:We advise tracking your weight, temperature, respiration rate, pulse rate, and blood pressure on a routine basis.
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which would be most important for the nurse to do when administering a phenothiazine antiemetic to a patient?
Institute safety precautions would be most important for the nurse to do when administering a phenothiazine antiemetic to a patient.
Phenothiazines, which are commonly used as antipsychotic medications, also have antiemetic properties, and a number of minor phenothiazines are used to treat transient nausea and vomiting caused by viral infections, surgery, or gastrointestinal illnesses. Phenothiazine antiemetics are medications that can be used to treat nausea and vomiting. They work by blocking dopamine, muscarinic, and histamine (H1) receptors in the vomiting center and chemoreceptor trigger zone, respectively.
An antiemetic is a medication that relieves nausea and vomiting. Antiemetics are typically used to treat motion sickness as well as the side effects of opioid analgesics, general anaesthesia, and cancer chemotherapy.
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a nurse arriving for duty notes that an unlicensed assistive personnel (uap) has been assigned to a complex client with treatments involving sterile technique. what is the responsibility of the nurse regarding the assignment of the uap?
The responsibility of the nurse regarding the assignment of the unlicensed assistive personnel, or UAP, that has been assigned to a complex patient's needs is to reassign the unlicensed assistive personnel to a patient who needs basic tasks that the UAP already mastered.
The nurse is responsible for delegating assignments to UAPs. The nurse gives tasks to UAPs based on their degree of competence and education, job role, agency policy, regulation, and personal need. UAPs shouldn't be assigned to patients who are complex or require expertise at a higher level.
If the nurse is convinced that the UAP has the necessary expertise for the fundamental activities based on the options presented, the responsibilities can be delegated. The other alternatives are inappropriate because they do not verify that the UAP has the necessary skills and knowledge to provide care or do the assignment.
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which education would the nurse provide about the occurrence of febrile seizures they may occur in minor illnesses the cause is
They may occur in minor illnesses.
When a child has a fever, he or she may experience febrile seizures (febrile convulsions). They are most common between the ages of 6 months and 3 years. It can be terrifying and upsetting to witness your child having a seizure, especially if it is their first seizure.
There is nothing that can be done to prevent a febrile seizure. Keep calm and try not to panic during a seizure. Do not bathe, restrain, or place anything in your child's mouth. Febrile seizures are not dangerous to your child's health and will not result in brain damage.
The priority is a patent airway; the equipment required to ensure a patent airway must be available immediately. Although padding the crib rails is beneficial, it is not a top priority. It is not necessary to arrange for a quiet, cool room; however, it may be done if the child has a high fever or a history of febrile seizures. Although obtaining a recliner to allow a parent to stay is appropriate, it is not the priority.
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discrimination based on information from which it is possible to determine a person's propensity to be stricken by diseases is called
Discrimination based on information that can be used to predict a person's susceptibility to disease. It is possible to predict a person's proclivity to develop many diseases, including diabetes, heart disease, multiple sclerosis, and certain types of cancer, using genetic information.
The Genetic Information Nondiscrimination Act of 2008 is a United States Congress Act that prohibits certain types of genetic discrimination.
Genetic information discrimination also occurs when an employer obtains genetic information illegally. It is, for example, illegal for an employer to conduct an Internet search to learn about an employee's family medical history (medical conditions of relatives).
Genetic discrimination occurs when an employee or insurance company treats them differently because they have a gene mutation that causes or increases the risk of an inherited disorder. People considering genetic testing frequently express concerns about discrimination.
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which prescribed therapy will the nurse clarify with the healthcare provider for a patient who is scheduled for a radioactive iodine isotope study?
The prescribed therapy that the nurse will clarify with the healthcare provider for a patient who is scheduled for a radioactive iodine isotope study is for hyperthyroidism and thyroid cancer.
It is used in medicine to produce radioactive iodine (I-131), an isotope of iodine that emits radiation. I-131 enters the bloodstream in the gastrointestinal (GI) tract after being ingested in a tiny quantity. It is drawn out of the circulation by the thyroid gland, where it starts to obliterate the gland's cells.
At the moment, only a few forms of thyroid cancer and hyperthyroidism are treated with radioactive iodine therapy. It is also used to check for the spread of some thyroid malignancies to other body areas and to help identify the underlying reasons for hyperthyroidism.
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