an older adult client is being evaluated for suspected pyelonephritis and is ordered kidney, ureter, and bladder (kub) x-ray. the nurse understands the significance of this order is related to which rationale? reveals causative microorganisms shows damage to the kidneys if risk for chronic pyelonephritis is likely detects calculi, cysts, or tumors

Answers

Answer 1

The significance of this order is related to detecting calculi, cysts, or tumors, which means option D is the right answer.

Pyelonephritis refers to the infection in kidney which is caused due to gram negative bacteria known as E. Coli. The main symptoms observed in this disease are fever, abdominal pain, and nausea or vomiting. Kidneys are essential organs of the body responsible for filtration of minerals and water. If any of the kidney is damaged then it may cause problems to the overall functions of the body. Pyelonephritis is not a serious disease and can be treated using antibiotics however it must not be left untreated for long as the bacteria may grow and affect other functions of the body. X ray, MRI or ultrasound helps to determine whether the cells near the kidneys are not converting not tumor which may cause cancerous tissues to develop.

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a client with a compound fracture of the femur is in balanced skeletal traction. which assessment data must be reported immediately?

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Redness and heat at fracture site must be reported immediately.

Skeletal traction is a method of treating broken bones. It is a system that uses a combination of pulleys, pins, and weights to promote bone healing. These are typically found in the lower body.

Skeletal traction is primarily used to correct and maintain the position of a cervical spine fracture-dislocation or to act as a splint for undisplaced cervical fractures. Torticollis and cervical spondylosis are treated with balanced traction.

Skeletal traction is used for fractures that require a lot of force applied directly to the bone because it allows more weight to be added with less risk of damaging the soft tissues around the bone. If you require skeletal traction, it will be performed under anesthetic to minimize pain.

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whereas in horizontal bone loss, inflammation spreads through tissue, ending in the , in vertical bone loss, inflammation spreads through tissue, ending in the . group of answer choices a) periodontal ligament; alveolar bone b) alveolar bone; periodontal ligament c) both paths end up in alveolar bone d) gingival connective tissue; periodontal ligament

Answers

Whereas in horizontal bone loss, inflammation spreads through tissue, ending in the Periodontal ligament, in vertical bone loss, inflammation spreads through tissue, ending in the alveolar bone, which suggests that option A is the right answer.

Periodontal disease refers to the situation which is caused by some specific bacteria that triggers the production of inflammatory mediators. It leads to loss of tissue and their function. Periodontitis is a bacteria based inflammatory disease which is responsible for alveolar bone loss. Alveolar bone is the thick ridge of bone which contains the tooth sockets. Periodontal ligament is the mass of tissue which holds the teeth in place. However, it is mistaken as gum. It inserts into root cementum on one side and over alveolar bone on the other.

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some diseases, such as cancer and diabetes, are caused by defective protein phosphatases. explain how such a defective protein would affect a signal transduction pathway.

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Protein phosphatases are enzymes that weaken the activity of the protein that play an important role in terminating the signal in signal transduction pathway.

Protein phosphatases remove phosphate groups from proteins. The removal of phosphate can turn off or weaken the activity of the proteins thus help in terminating the signal in cascade.

When a cell receive a signal, a cascade of phosphorylation events is activated. These phosphorylation activate proteins that carry out the response of cell to the signal. Once the signal is no longer needed, protein phosphatases dephosphorylate the proteins, terminating the signal and returning the cell to its resting state.

If a protein phosphatase is defective, dephosphorylate of the proteins will not take place. This can lead to a prolonged activation of the signal transduction pathway thus leading to number of diseases like cancer and diabetes.

Therefore, above given is the explanation of how a defective protein can affect a signal transduction pathway.

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the nurse is testing superficial reflexes on an adult patient. when stroking up the lateral side of the sole and across the ball of the foot, the nurse notices plantar flexion of the toes. how should the nurse interpret this finding?

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Plantar reflex present. The nurse should make a light, upside-down "J"-shaped stroke with the same tool across the ball of the foot and up the lateral side of the sole.

The typical reaction is plantar flexion of the toes, and occasionally the entire foot. When the big toe responds by dorsiflexing and all other toes fan out, the Babinski sign is positive, which is abnormal. A 0 to 4+ scale is not used to grade the plantar reflex. In patients who are unconscious or who may have suffered injuries to the lumbar 5-5 or sacral 1-2 regions of the spinal cord, the plantar reflex is the only superficial reaction that should be evaluated. With the handle of a reflex hammer or a tongue blade, stimulate the bottom of the foot.

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as part of his role at the local hospital, jake is reviewing joint commission standards to ensure that the organization is meeting the accreditation requirements. as part of the review, jake is looking at a specific set of standards that are primarily focused on documentation. some of the standard requirements include care provided, procedures that were done on the patient, and the progress of the patient. based on this scenario, which set of joint commission standards is jake reviewing?

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Jake is reviewing the Record of care standards which is a set of joint

commission standards.

What are Joint Commission standards?

Joint Commission standards are a set of guidelines and requirements that healthcare organizations must adhere to in order to receive and maintain accreditation from The Joint Commission. These standards are based on evidence-based best practices and are regularly updated to reflect current healthcare trends. The standards are intended to ensure that patients receive safe and high-quality care and that organizations are managed in a responsible and ethical manner. The standards cover topics such as patient rights and responsibilities, staff qualifications, patient assessment and care planning, and environment of care.

What is the Record of Care standards ?

The Record of Care Standards are standards for the recording and maintenance of health and social care records. They are designed to ensure that records are accurate, consistent, and up-to-date. The standards cover the content, format, and security of records, as well as the transfer of information between different providers of health and social care services. The standards are based on the principles of openness, transparency, and accountability, and help to ensure that records are kept securely and information is shared appropriately.

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the nurse cares for a terminally ill patient who has 20-second periods of apnea followed by periods of deepand rapid breathing. which action by the nurse would be most appropriate?

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Cheyne-Stokes respirations are characterized by periods of apnea alternating with deep and rapid breaths action by the nurse would be most appropriate , the nurse cares for a terminally ill patient who has 20-second periods of apnea followed by periods of deepand rapid breathing.

When the muscles at the back of your throat relax too much, it causes obstructed apnea during sleep. The soft palate, the uvula, the tonsils, the tongue, and the triangular bit of tissue that hangs from the soft palate are all supported by these muscles. Age and obesity are risk factors. Men are more likely to have it. Snoring loudly and experiencing fatigue even after a full night's sleep are symptoms. Treatment frequently entails modifying one's way of living, such as losing weight and using a CPAP machine or other breathing aid at night.

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which medical condition is less likely to occur in breastfed infants compared to infants who are not breastfed?

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Ear infection. allergies, and diarrhea are is less likely to occur in breastfed infants compared to infants who are not breastfed.

Breastfeeding, also known as nursing, is the process of feeding a child human breast milk. Breast milk can be expressed from the breast or pumped and fed to the infant. Breastfeeding should begin within the first hour of a baby's life and continue as often and as much as the baby desires, according to the World Health Organization (WHO).

Breastfeeding exclusively for six months is recommended by health organizations such as the WHO. This means that, aside from vitamin D, no other foods or beverages are usually given. The World Health Organization recommends exclusive breastfeeding for the first six months of life, followed by continued breastfeeding with appropriate complementary foods for up to two years and beyond.

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the nurse has just administered an opioid antagonist to a client who had been experiencing respiratory depression. how soon can the nurse expect to see improvement in the client's respiratory function?

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The nurse administered an opioid antagonist to a client who had been experiencing respiratory depression. Within one to five minutes an effect may be seen on the patient.

Opioid analgesics are used to treat pain that ranges from moderate to severe. The most effective drug for treating severe pain is morphine. Because there is no "limit effect," or increase in analgesia with dose, it is also frequently used to treat cancer pain and end-of-life pain. Hydromorphone and fentanyl are two more drugs that may be given via patient-controlled analgesia (PCA), in addition to morphine. The patient presses a button on a PCA device to receive the opioid; this releases a predetermined dose and also has a lockout mechanism to prevent an overdose.

The complete question is:

The nurse has just administered an opioid antagonist to a client who had been experiencing respiratory depression. How soon can the nurse expect to see improvement in the client's respiratory function?

a) Within one to five minutes, an effect may be seen.

b) Slow improvement can be noted throughout the shift.

c) Response is highly individualized based upon client weight.

d) Improvement will occur within 30 minutes from the time of administration.

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a pregnant woman is yawning excessively, is diaphoretic, and is experiencing nausea, vomiting, diaphoresis, and diarrhea. the nurse suspects that the woman may be withdrawing from which substance?

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A pregnant woman is yawning excessively, is diaphoretic, and is experiencing nausea, vomiting, diaphoresis, and diarrhea. The nurse suspects that the woman may be withdrawing from Pica which is a eating disorder.

A person with a pica which is a eating disorder compulsively consumes items that aren't food and serve no nutritional or functional purpose. Pica can be natural, expected, and harmless depending on when and why a person does it. If a person with this illness eats something toxic or hazardous, it could lead to serious issues. With pica, a person eats compulsively things that aren't food and don't provide any nutrients. People who have this illness struggle mightily to suppress the impulse on their own since it is compulsive. Depending on the non-food item(s) a person consumes, pica can have a variety of impacts. Pica is a safe pregnancy-related activity for people who consume things like ice.

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a client reports experiencing increased stress at work. the client has been managing the stress by drinking 2 or 3 glasses of wine per evening. despite the nurse recommending that drinking alcohol is not an effective way to manage the stress, the client feels it will be difficult to stop drinking. which statement explains why this will be difficult for the client?

Answers

The habit of stopping alcohol consumption will be difficult for the client because the client has no adaptive coping mechanisms, which suggests option D is the right answer.

The client is experiencing undue pressure and anxiety due to which he has resorted to drinking but this is certainly not a correct way of dealing with such situations. Anxiety is the condition of feeling of uneasiness, such as worry or fear which causes restlessness and irritation.  The better option would be to communicate with senior management to find out better ways of work distribution so that it does not become a hectic schedule. Also spending some leisure time would be effective. The nurse should not ask the client to give up coping mechanisms, even maladaptive ones, without offering other adaptive mechanisms.

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To refer to complete question, see below:

A client reports the client has been experiencing increased stress at work. The client has been managing the stress by drinking 2-3 glasses of wine per evening. Despite the nurse recommending that drinking alcohol is not an effective way to manage the stress, the client reports it is unlikely that the client will be able to stop. Which statement explains why this will be difficult for the client?

A few glasses of wine each night is not necessarily a problem.Drinking alcohol is more socially acceptable than taking medications.The client is probably physically dependent on alcohol.The client has no adaptive coping mechanisms.

which therapy focuses heavily on creating an accepting and supportive environment for self-discovery?

Answers

Humanistic and person-centered therapy, like psychoanalysis, involves a largely unstructured conversation between the therapist and the patient. Unlike psychoanalysis, though, a therapist using PCT takes a passive role, guiding the patient toward his or her own self-discovery.

(This is copy and pasted straight from a search, so don’t enter this in word for word)

a nurse has completed 4 hours of an 8-hour shift on a medical-surgical unit when the nursing supervisor calls. the nursing supervisor directs the nurse to give a report to the other two nurses on the medical-surgical unit and immediately report to the telemetry unit to assist with staff needs on that unit. the nurse informs the supervisor that the nurse has been busy with client assignments and feels this will overwhelm the nurses on the medical-surgical unit. the supervisor informs the nurse that the need is greater on the telemetry unit. this is an example of which type of ethical problem?

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This given example suggests ethical problem related to proper Allocation of scarce nursing resources.

Since the nurse has to look after two jobs which carry equal importance according to her, her confrontation to the supervisor is valid. However, supervisor on the other hand is unaware of the actual medical conditions of the patient and finds that the requirement of staff in telemetry unit carries greater importance so he directs the nurse to report in the telemetry unit. In healthcare system though electronic facilities have made things easier to do, yet when the nurses themselves are not properly trained to operate the machines, they might find it difficult to complete their duties. Telemetry units in hospitals are the facilitative units where patients are under constant electronic monitoring.    

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urse-manager on an oncology unit has been informed that she must determine which nursing care delivery system (ncds)/nursing care delivery model (ncdm) is best for efficient client care, client satisfaction, and cost reduction. knowing that two or three registered nurses, four licensed practical nurses, and five nursing assistants are generally on duty on each shift and that the clients can easily be grouped by geographic location and client care needs, the nurse-manager and her staff appropriately decide to implement which ncds/ncdm?

Answers

The Nurse-manager and her staff decide to implement the Team Nursing NCDS/NCDM that is option D is correct.

Nursing care deliver model is the method of providing various types of care to the patient who is suffering from different types of diseases. This model provides the nurse with different options to take care of the patient. It also enables the nurse to select the best probable way of taking care of the patient by analyzing his disease and choosing the suitable method. Generally there are four kinds of models which include Functional Nursing, Team Nursing, primary nursing and total patient care. In the Team Nursing approach, a team of nurses are employed to take care of a particular patient. The team is lead by a team leader who provides instructions to the other members.

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Complete Question:

A nurse-manager on an oncology unit has been informed that she must determine which nursing care delivery system (NCDS)/nursing care delivery model (NCDM) is best for efficient client care, client satisfaction, and cost reduction. Knowing that two or three registered nurses, four licensed practical nurses, and five nursing assistants are generally on duty on each shift and that the clients can easily be grouped by geographic location and client care needs, the nurse-manager and her staff appropriately decide to implement which NCDS/NCDM?

a) Primary nursing

b) Functional nursing

c) Case management

d) Team nursing

a client who has been prescribed fluoxetine for depression and has just had the dosage increased comes to the emergency department. the nurse suspects serotonin syndrome based on which assessment? select all that apply.

Answers

Change in mental state, Ataxia, Diaphoresis, and Fever are among the observations that lead the nurse to suspect serotonin syndrome prescribed fluoxetine .

Serotonin syndrome symptoms include altered mental state, autonomic dysfunction, and anomalies of the neuromuscular system. Mental status changes, agitation, myoclonus, hyperreflexia, fever, shivering, diaphoresis, ataxia, and diarrhea must all be present for a diagnosis with fluoxetine . The Serotonin syndrome most common cause of the potentially fatal neurological illness neuroleptic malignant syndrome is an unfavorable response to neuroleptic or antipsychotic medications. Serotonin syndrome High temperature, perspiration, unstable blood pressure, sluggishness, tightness of the muscles, and autonomic dysfunction are among the symptoms.

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a 8-year- old boy has a severe sore throat, high fever, and cervical adenopathy. it is suspected that the causative agent is streptococcus pyogenes. before antibiotic therapy is initiated, the patient is given aspirin to reduce his fever. the mechanism of fever reduction by aspirin is

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A 8-year-old child is suffering with cervical adenopathy, a terrible sore throat, and a high temperature. Streptococcus pyogenes is thought to be the causing agent. The patient is given aspirin to treat his fever before starting antibiotic therapy. Strep pharyngitis is the cause of aspirin's ability to lower fevers.

Acute pharyngitis can be brought on by numerous viruses and bacteria. Acute pharyngitis, often known as strep throat, is brought on by Streptococcus pyogenes, generally known as group A Streptococcus (group A strep). Streptococcus pyogenes, often known as group A streptococcus, is the bacterium that causes strep throat.

The streptococcal bacteria spread readily. They can be spread through shared food or drinks, or through droplets produced when an infected person coughs or sneezes. If left untreated, strep throat usually goes away in three to five days. Antibiotic therapy is advised despite the brief period to lower the risk of complications. After taking antibiotics for one to three days, symptoms usually go away.

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ultrasound of intensity 175 w/m2 is produced by the rectangular head of a medical imaging device measuring 3.00 cm by 6.00 cm. what is the power output of the device?

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1968.75x10^-4 w is the power output of the device at ultrasound of intensity 175 w/m2 is produced by the rectangular head of a medical imaging device measuring 3.00 cm by 6.00 cm.

let given,

ultrasound of Intensity = 175 W/m²

Area ,A = 4.572.5x10^-4 m²

power, p = ?

Intensity = power / Area

power = Intensity x Area

P = IXA

P = 175 W/m² X 4.572.5x10^-4 m²

P = 1968.75x10^-4 w

the power output will be 1968.75x10^-4 w

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a nurse is caring for a client who has developed diarrhea after antibiotic administration. the client has a bun of 35 and creatinine of 1.8. the provider has ordered diphenoxylate with atropine for the client. what action should the nurse implement?

Answers

In the case above, the client has a BUN of 25 and creatinine of 1.8, and the provider has ordered diphenoxylate with atropine. The nurse should call the prescriber about the laboratory tests.

Diphenoxylate/Atropine is a drug combination that is used to treat severe diarrhea. It works by slowing down the intestines' movements.

The usage of diphenoxylate/atropine requires caution for patients that have a renal or hepatic compromise.  A 1.8 creatinine level can be considered higher than normal. hence why the nurse should call and make sure that the client's provider is aware of the client's laboratory values before administering the meds.

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after assessing a client with allergic rhinitis, what medication does the nurse anticipate to administer?

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After assessing a client with allergic rhinitis, the nurse plans to administer diphenhydramine (Benadryl).

Diphenhydramine is an antihistamine medication castoff primarily to treat allergies. Diphenhydramine is castoff to relieve red, irritated, itchy, watery eyes; sneezing; and runny nose caused by hay fever, allergies, or the common cold. Diphenhydramine is an antihistamine used to temporarily relieve symptoms of hay fever, upper respiratory allergies, or the common cold, such as a runny nose and sneezing. causes allergic symptoms. When castoff as recommended, it is a safe and effective medicine. Diphenhydramine is sold under the brand name Benadryl, store brands, and generics. It is also handy in combination with pain relievers, fever reducers and decongestants.

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the nurse is preparing for the admission of a client with a prescription for seizure precautions. which supplies will the nurse make available to this client?

Answers

The nurse will make these supplies available to the client:

OxygenSuction machinePrescribed diazepamPadding for the side rails

Seizures come in a variety of forms. The majority of seizures are short-lived.

The following are general actions to take to assist someone having any kind of seizure:

As soon as the seizure stops and the person regains consciousness, stay by their side. When it's over, assist the person in finding a secure seat. Tell them what happened in simple words once they are awake and speaking.

Soothe the person and maintain composure.

Verify if the wearer is sporting a medical ID bracelet or any other type of emergency identification.

Keep everyone calm, including yourself.

To make sure the person gets home securely, offer to call a taxi or a friend.

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on a recent evening, bob took his normal prescription medications and had two glasses of red wine. the interaction of one of the drugs with the alcohol multiplied the effects of the drug to the point that bob began to lose consciousness. fortunately, zach, acted quickly and got bob to the emergency room in time. the kind of drug interaction bob experienced is called

Answers

The kind of drug interaction which Bob experienced due to the simultaneous consumption of alcohol is called Synergism.

The unusual mixing of alcohol with certain medications can cause condition of headache, drowsiness, sudden unconsciousness, loss of coordination, nausea and vomiting. Synergism is the condition when two or more drugs individually react together to produce overpowering effects which may or may not be harmful for the body. Sometimes in adverse conditions or rare case, it may also lead to hemorrhage or internal bleeding. It is advised to keep a time duration gap between the consumption of medicines and wine. Drinking alcohol is otherwise also injurious to health and has harmful effects on the organ system especially kidney. Alcohol must be avoided while following a prescription of painkillers.  

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which statement best describes the difference between a healthy person and a person with type ii diabetes in their ability to maintain homeostasis of blood sugar levels?

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The statement which best describes the difference between a healthy person and a person with type II diabetes is 4. Type II diabetics produce insulin when blood sugar levels increase.

The body's inability to regulate and use sugar (glucose) as fuel causes type 2 diabetes. Sugar levels in the blood are too high as a result of this chronic condition, which lasts for a long time. High blood sugar levels can eventually result in circulatory, nervous, and immune system disorders. Because receptor cells develop insulin resistance in this type of diabetes, thus option 4 is the correct response. It is manageable through exercise and weight loss, but it cannot be completely cured.

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(Complete question)

Use the Homeostasis lab to answer the question. Which statement best describes the difference between a healthy person and a person with type II diabetes in their ability to maintain homeostasis of blood sugar levels?

A person with type II diabetes is unable to produce glucagon when blood sugar levels decrease, so they must inject insulin to maintain homeostasis.Type II diabetics produce no insulin when blood sugar levels increase, so they must inject glucagon to maintain homeostasis.Type II diabetics maintain abnormally low blood sugar levels after eating sugary foods, so they must inject glucose in order to maintain blood glucose homeostasis.Type II diabetics produce insulin when blood sugar levels increase, but their cells do not respond to insulin effectively, so they must control blood glucose homeostasis through diet and exercise.

the nurse is helping the client prepare for discharge after a severe case of food poisoning. the client has been tolerating feedings, and the health care provider would like the client to advance to a soft diet for the next week until the next office visit. when the client asks why the provider is prescribing a soft diet, how should the nurse respond?

Answers

Reduce intestinal activity to aid in healing after food poison. The BRAT diet includes the items that are typically advised to eat after the stomach flu, food poisoning, or a typical stomach discomfort.

BRAT stands for bread, bananas, rice, and applesauce. These particular foods are the best since they are bland and simple to digest. It also takes time for the intestines to recover. A virus that inflames your stomach and intestines is what causes this intestinal illness. Although there is no cure for this viral illness, you may take precautions to be healthy. The easiest way to prevent gastroenteritis is to wash your hands often and thoroughly. Since the stomach flu is communicable and usually develops after contact with an infected individual, prevention is crucial.

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the nurse is caring for a client who has been increasingly fatigued and irritable. the provider has ordered for an assessment for possible sleep disorders. which step will the nurse perform first in the sleep assessment?

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Have the client further evaluated for depression  will the nurse perform first in the sleep assessment the nurse is caring for a client who has been increasingly fatigued and irritable. the provider has ordered for an assessment for possible sleep disorders.

A typical mental illness is depression. The condition affects 5% of individuals worldwide, according to estimates. It is marked by on-going unhappiness and a loss of enthusiasm for once-rewarding or fun pursuits. It may also impair appetite and sleep. Concentration issues and exhaustion are frequent. A depression is characterised by double-digit increases in unemployment and a collapse in the market for consumer goods. To make up for this, businesses typically reduce production or close plants, which causes a decline in investment activity. GDP and other indicators of economic activity suffer sharp decreases as a result.

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the patient has been diagnosed with urge incontinence. what classification of medication does the nurse expect the patient will be placed on to help alleviate the symptoms? antibiotics anticholinergic agents antispasmodic agents urinary analgesics

Answers

Anticholinergic agents can be used as the medication to help alleviate the symptoms of the urge incontinence.

Urinary incontinence is known as the leakage of any volume of urine, which is mostly involuntary. The treatment of urge urinary incontinence is designed to decrease bladder contractility. It also aims to acquire increased bladder capacity and decreased afferent input to the bladder. The treatment option includes the use of medications, namely antimuscarinic.

Antimuscarinics are a subtype of anticholinergic drugs. Anticholinergics refer to agents that block cholinergic receptors, or acetylcholine receptors.

Some antimuscarinic agents currently available for the treatment of urge incontinence include oxybutynin, tolterodine, fesoterodine, trospium, darifenacin, and solifenacin.

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when used systemically, antifungal drugs tend to cause more adverse effects than antibiotics because:

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Despite their success at targeting fungi, antifungal medications for systemic infections have more toxic side effects than antibiotics for bacteria.

Antibiotics like penicillin come to mind when we think of antimicrobial medications. Penicillin and related antibiotics inhibit peptidoglycan cell wall synthesis, effectively targeting bacterial cells. Because humans (like all eukaryotes) lack peptidoglycan cell walls, these antibiotics are beneficial. It is more difficult to create medications that are effective against eukaryotic cells but are not harmful to human cells.

Despite their vast morphological differences, human, fungi, and protist cells share ribosomes, cytoskeletons, and cell membranes. As a result, developing medications that target protozoans and fungi in the same way that antibiotics target prokaryotes is more difficult.

Fungicides have only a few modes of action. Because fungi have ergosterols (rather than cholesterol) in their cell membranes, some medications may target the various enzymes involved in sterol production. Fungicides like azole and morpholine disrupt the synthesis of membrane sterols. These are widely used in agriculture (fenpropimorph) and in medicine (e.g., miconazole). Some antifungal medications target fungi's chitin cell walls.

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a nurse explains cognitive behavioral therapy (cbt) to a client who is experiencing chronic insomnia. which statements by the nurse best describe this therapy? select all that apply.

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CBT for Chronic insomnia may include progressive muscle relaxation measures, stimulus control, and sleep restriction therapy. Used with other complementary therapies, CBT is very successful.

You will meet with a therapist to work through any maladaptive sleep beliefs. Insomnia can be cured by attending to the underlying cause, although it occasionally persists for years. Chronic insomnia has a variety of reasons, including: Stress. A uncommon hereditary brain illness called fatal familial insomnia (FFI) affects sleep patterns. It is characterized by an inability to fall asleep (insomnia), which may start off moderate but gets worse with time, causing serious physical and mental decline. Chronic insomnia has a variety of reasons, including: Stress. Insomnia can also be brought on by traumatic or stressful life events like divorce, losing your job, losing a loved one to death or disease.

The complete question is:

A nurse explains cognitive behavioral therapy (CBT) to a client who is experiencing chronic insomnia. Which statements by the nurse best describe this therapy? Select all that apply.

1. Pharmacologic approaches should be attempted prior to CBT to resolve the insomnia."

2. "CBT may include progressive muscle relaxation measures, stimulus control, and sleep restriction therapy."

3. "Clients undergoing CBT are asked to stay in bed during normal sleep hours even if they are unable to sleep."

4. "Used with other complementary therapies, CBT is very successful."

5. "You will meet with a therapist to work through any maladaptive sleep beliefs."

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mary takes her progestin-only contraceptive pill at 8:00 every morning, but today she did not remember to take it until 3:00 in the afternoon. what should she do?

Answers

Take a pill now, then take the next pill as scheduled, but use a backup method for 48 hours.

If a pill is missed by at least three hours and is a progestin-only contraceptive, the following should be done, according to the manufacturer.As soon as you realise you forgot to take a tablet, take it. Take your progestin-only contraception at your normal schedule after that.Oral contraceptives include the progestin-only birth control pill, sometimes referred to as the minipill (birth control pill). Only progestin is present in trace amounts in each progestin-only pill (which is a synthetic form of the hormone progesterone). There is no oestrogen in these pills. 1 The MiniPill is available only in 28-day packs.One type of birth control pill is a progestin-only contraceptive. The "mini-pill" is another name for it. Estrogen and progesterone are the two female hormones found in typical birth control pills. The only substance in the mini-pill is progesterone.

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jenny is, by nature, a nervous person. she has been having a hard time concentrating and seeks the help of a counselor, dr. ang. dr. ang begins by being very warm. he does not direct jenny with regard to what she should talk about. instead, dr. ang primarily focuses on empathizing with jenny and accepting her for who she is. which therapeutic orientation is dr. ang most likely using?

Answers

The therapeutic orientation that Dr. ang is most likely using is client-centered therapy.

What is client-centered therapy?

It is a type of therapy with a focus on talk therapy. It is directed so that the client has the reins of the therapy and that the therapist only acts as a guide for the session. With this, the patient will be able to "steer the ship" so he does not feel pressure and rush about what is being discussed.

The therapy focuses on listening to the patient and giving him an environment conducive to making his decisions independently, the therapist should not judge the patient's decisions, this is called 'unconditional positive regard'.

By not giving emotional feedback, the therapist gives the client space to focus on himself and be independent of the decisions he makes regarding what the therapist feels or thinks.

Therefore, we can confirm that Dr. Ang is using a client-centered therapy.

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the nurse understands that a diagnostic-related group is one of the reimbursement strategies in a prospective payment system. the diagnostic-related group is a part of which health care system?

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The diagnostic-related group in a prospective payment system is a part of the Medicare healthcare system.

Prospective Payment System or PPS is a reimbursement method in healthcare. It's using a diagnostic-related strategy as a part of the Medicare healthcare system. Under PPS, the hospital is paid a predetermined and fixed amount of money per Medicare discharge. Some characteristics of PPS are:

The payment covers defined periods, such as per certain-day episodes.The amount of payment is based on each patient's own assessment classification.

Some classifications of PPS include acute inpatient, home health agencies, long-term care hospital, inpatient rehabilitation facilities, hospice, and many more.

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the nurse is assisting the client on the correct procedure for applying anti-embolism stockings. which statement by the client indicates that the client understands the procedure?

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I will apply the anti-embolism stockings before getting out of bedPrior to applying the stockings, I will look for reddened areas on my skin.

Antiembolism stockings are said to work by reducing the overall crosssectional area of the limb, increasing venous flow velocity, reducing venous wall distension, and improving valvular function, thereby counteracting venous hypertension.

Anti-embolism socks compress the legs and can help prevent blood clots in people who are unable to leave their bed. Anti-embolism socks typically apply graduated pressure ranging from 18 mm Hg to 8 mm Hg. Doctors frequently prescribe the socks for patients who must remain in bed following surgery.

The compression level and the medical reason for which it is worn are the most significant differences between Anti-Embolism Stockings (TED Hose) and Medical Compression Stockings. Anti-embolism stockings are typically 8-18mmHg, whereas medical compression stockings are 15-20mmHg or higher.

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