In CKD stages 1-2, the recommended daily protein intake should be around 0.8 g/kg/day (below normal intake), and it should be reduced to 0.7-0.6 g/kg/day in CKD stages 3–4. The recommended daily phosphorus intake should be about 800-1000 mg/day.
For people with GFR 25 mL/min, which roughly corresponds to CKD Stages 4-5, K/DOQI Nutrition Guideline 24 suggests considering a protein intake of 0.60 g/kg/d. However, it makes no recommendations for patients with greater GFR.
For healthy people, the recommended daily amount (RDA) for protein is 0.75 g/kg/d. The MDRD Study was unclear about the advantages of protein limitation on the course of renal disease (see CKD Guideline 13), but there was no proof that DPI above the RDA had any positive effects.
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which is not a requirement to be accredited and able to perform a tuberculosis test on a cow in california
Receive authorization from the American Veterinary Medical Association (AVMA) is not a requirement to be accredited and able to perform a tuberculosis test on a cow in California.
Tuberculosis (TB) is an infectious disease of cattle. It is caused by the bacterium Mycobacterium bovis which might additionally infect and cause malady in several alternative mammals as well as humans, deer, goats, pigs, cats, dogs and badgers. In cattle, it's primarily a respiratory illness however clinical signs ar rare.
The American Veterinary Medical Association, supported in 1863, may be a not-for-profit association representing quite ninety nine,500 veterinarians within the US. The AVMA provides data resources, continued education opportunities, publications, and discounts on personal and skilled product, programs, and services.
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Critical thinking and problem solving
Answer:
Is this a question or a statement? Please clarify.
Explanation:
when developing the teaching plan for a client who uses a walker, which principle should a nurse consider?
When developing the teaching plan for a client who uses a walker, principle which nurse should consider is that When most support is needed, the walker ought to be enraptured ahead about about (15 cm) whereas each legs support the client's weight.
The goal of a teaching plan is that the target you're attempting to achieve. It helps to produce the framework that you simply can use once developing your lesson objective. The lesson objective could be a clear and measurable statement that tells you what the scholars are ready to do at the top of the lesson.
A walker could be a walking aid that has four points of contact with the bottom. it always has 3 facets with the side nighest to the patient being open. It provides a wider base of support than a walking stick, thus it's used additional to stabilise patients with poor balance and quality or lower extremity impairment.
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when instructing a client regarding sublingual application, the nurse should inform the client that which action is contraindicated when administering the drug?
Swallowing the medication. The patient should refrain from ingesting or chewing the drug when it is given sublingually. Additionally prohibited during administration are eating and smoking.
Drugs in buccal or sublingual forms offer benefits. These methods of administration can be crucial in patients where you need the treatment to start working immediately, such a heart attack, because the medication absorbs swiftly. Additionally, because these medications do not pass through your digestive tract, patient liver is not involved in their metabolism. As a result, you might be able to use a lesser dosage and yet have the same effects.
Placing a medication beneath your tongue causes it to dissolve and enter your bloodstream through the tissue there. The fact that patient don't have to ingest the medication is another benefit. People who have trouble swallowing tablets may find it simpler to take medications that are absorbed beneath the tongue or in the space between the cheek and gum.
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a child is diagnosed with tourette's disorder. the nurse would anticipate developing a plan of care for this disorder in conjunction with which other disorder?
The nurse would anticipate developing a plan of care for Tourette’s disorder in conjunction with obsessive-compulsive disorder (OCD).
Tourette syndrome is a neurological disorder characterized by uncontrollable repetitive movements or sounds (tics). You might, for example, blink frequently, shrug your shoulders, or make strange noises or inappropriate remarks.
Obsessive compulsive disorder (OCD) is a mental health condition that can affect people of all ages and socioeconomic backgrounds due to a cycle of obsessions and compulsions. Obsessions are unwanted thoughts, desires, or images that cause extremely distressing feelings. Compulsions are actions taken in an attempt to end an obsession or alleviate distress.
Obsessive-compulsive disorder (OCD) is defined by recurring, unwanted thoughts or sensations (obsessions) or the urge to engage in certain repetitive behaviors (compulsions).
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the nurse is examining a client who has an exacerbation of hip pain when in a sitting position. which body system can the nurse examine with the client lying down?
The nurse is examining a client who has an exacerbation of hip pain when in a sitting position Gaurding .
A worsening. In medication, exacerbation can also refer to an boom inside the severity of a sickness or its signs and symptoms and signs. for instance, an exacerbation of asthma .
“Exacerbation.” think about it as a flare-up. for the duration of any such bouts, you could unexpectedly have greater hassle respiratory or make extra noise when you do. those flare-united states are regularly linked to a lung contamination due to a virus or bacteria, which include a cold or a few different contamination.
Treatments options for exacerbations encompass bronchodilators, corticosteroids, antibiotics, oxygen therapy, and ventilation. COPD is the name given to a collection of lengthy-time period lung diseases. The situation has a tendency to get worse over the years and signs can include: wheezing.
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a nurse is administering a medication that is formulated as enteric-coated tablets. what is the rationale for not crushing or chewing enteric-coated tablets?
Never crush enteric-coated drugs since the coating has a function. It might cover up a bitter taste, stop mouth discomfort or tooth and oral mucosal stains, and stop stomach lining irritation.
Additionally, it protects the medicine from being destroyed by stomach acid. Enteric-coated pills should be taken whole. Enteric-coated pills shouldn't be crushed or chewed. This may cause further stomach distress. Extended-release pills or tablets should not be chewed or crushed.
After accepting a prescription, the nurse is in charge of administering the drug. The nurse must make careful to oversee any treatment that she does not personally administer to make sure that it is provided in the proper manner by those under her supervision.
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which baseline measurement would the nurse obtain before administering pituitary hormones select all that apply
The nurse should measure baseline vital signs, review blood glucose levels, and measure weight and blood pressure before administering pituitary hormones
Growth hormone is the anterior pituitary hormone that is most frequently administered pharmacologically.
The nurse should remember to include the following in the assessment, history taking, and examination they are conducting:
For the purpose of avoiding negative consequences, look for any restrictions or warnings (such as a history of allergies, pregnancy, a serious illness after open heart surgery, etc.).
To establish baseline status before starting therapy and to check for any potential side effects, consider height, weight, thyroid function testing, glucose tolerance tests, and GH levels.
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Complete question:
which baseline measurement would the nurse obtain before administering pituitary hormones select all that apply
-Vital signs
-Baseline weight
-Blood glucose levels
-Blood pressure
a patient has been diagnosed with cellulitis on the right forearm. the nurse would anticipate orders to administer medications to eradicate which pathogen that caused the cellulitis?
A patient has been diagnosed with cellulitis on the right forearm and the nurse is anticipating orders to administer medication. The pathogen that causes cellulitis is called: staphylococcus aureus.
What is cellulitis?Cellulitis is a bacterial skin infection caused mainly by staphylococcus aureus bacteria. Cellulitis makes the infected skin swollen, inflamed, and painful. Some people may also experience fever and chills. The infected skin will feel warm and tender to the touch, but also look pitted like a peel of an orange. There are several ways to get rid of cellulitis, such as warm compress and compression or non-steroidal anti-inflammatory drugs (NSAIDs).
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when inspecting the palmar surface of the hands, the nurse would note which characteristics as normal findings?
The characteristic which is a normal finding is that the surface of the hand does not appear pale.
One of the anatomy of the human body with a very vital function to support activity is the hands. Part of this movement system helps with activities, from carrying things, holding objects, grasping, and so on.
The front, or palm side, is known as the palmar side, while the back of the hand is called the dorsal side.
The carpal bones are located in the wrist or precisely between the forearm bones, namely the ulna and radius bones, as well as the bones of the fingers. This part of the bone serves as a link between the forearm bones and the finger bones.
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a nurse has been asked to provide an educational event for the families of clients of a nursing home. what would the nurse teach during this educational event?
The nurse would teach that People older than 75 years experience fewer consequences of traumatic brain injury during this educational event for the families of clients of a nursing home.
A severe blow or jolt to the head or body is the most common cause of traumatic brain damage. A gunshot or a fractured piece of the skull can also cause traumatic brain injury by passing through brain tissue.
Mild traumatic brain damage may have a temporary effect on your brain cells. A more severe traumatic brain injury may result in brain bleeding, tissue damage, bruises, and other physical harm. These wounds can cause long-term issues or even death.
The following suggestions can help older adults avoid falls in the home:
Install railings in the bathrooms. In the shower or bathtub, place a nonslip mat. Remove any area rugs. Install railings on both sides of the staircase. Increase interior lighting, particularly near stairs. Keep the floors and stairwells clean.For more information on traumatic brain damage, visit :
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the nurse is talking with the family after their loved one died. what words of support and comfort would be most therapeutic for the nurse to say after this event?
The nurse is talking with the family after their loved one died. comfort would be most therapeutic for the nurse to say after this event Anticipatory Grieving related to loss of family member, as evidenced by sorrow.
Examples of therapeutics include drug therapy, clinical gadgets, nutrients therapy and stem-cellular cures. Therapeutics can be used in patients with energetic sickness – to treat the ailment itself or its symptoms and symptoms – in preventive medicinal drug, or as palliative care.
The intention of a healing rubdown is to deal with a fitness trouble, in place of clearly helping you to relax. Many human beings describe healing massages as uncomfortable however a “excellent pain” that facilitates relieve the ailment they are affected by. you could experience tenderness as your therapist works via your tissue.
Therapeutic in a sentence. maybe it became healing for him in some way. Powdered, it has little impact upon the skin, but in ointment or used by fumigation it has local therapeutic residences. The oil may be very conveniently absorbed from the skin and exerts all its therapeutic moves while as a result exhibited.
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the potassium wasting drug furosemide has been prescribed for a patient. which foods should the nurse recommend the patient consume while taking this medication?
Avoid eating too much salt when taking a diuretic like furosemide because doing so can prevent the medication from working. Eat less processed food and prepared meals as well as other items high in salt.
Furosemide is a strong loop diuretic which can cause hypotension. When cooking or eating, avoid adding additional salt. Strong diuretics like furosemide, also known as "water pills," can dehydrate people and mess with their electrolytes. It is crucial that you follow your doctor's instructions to furosemide.
Call your doctor right away if you have any of the following symptoms:
reduced urination dry mouth, thirst, a pounding heartbeat, nausea, vomiting, weakness, drowsiness, confusion, muscle discomfort, or cramping.Whole grains in reasonable proportions.Fish. Poultry.Nuts.Vegetables.Fruits.dairy products with low fat.Follow these guidelines carefully if your doctor advises you to eat or drink more potassium-rich foods (such as bananas, prunes, raisins, and orange juice) or to follow a low-salt or low-sodium diet.
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the disorder used to describe type i diabetics who manipulate their body weight by skipping insulin injections or using less insulin than prescribed is called
The word "diabulimia," which was coined by the media, describes an eating problem in a person with diabetes, usually type I diabetes, in which the person deliberately limits insulin in an effort to reduce weight.
Since there is no distinct diagnostic code for diabulimia, the precise diagnosis of a person will depend on how they behave when they have an eating disorder. If a person binges and then restrict insulin, the diagnostic guideline, DSM-5, identifies this as a purging habit and may therefore label it as bulimia nervosa. If the patient is eating properly while restricting insulin, it may be classified as a purging disorder, or if the patient is severely limiting both food and insulin, it may be diagnosed as anorexia nervosa. Diagnoses for diabulimia include Other Specified Feeding and Eating Disorders (OSFED).
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which medication used in gastroesophageal reflux disease decreases the conversion of pepsinogen to pepsin?
Histamine-blockers like ranitidine and cimetidine are effective at preventing acid release, which lowers pepsin activity. Ranitidine is a member of the histamine-blocker class of medications.
Ranitidine reduces the quantity of acid that is produced by your stomach. In order to cure and prevent stomach and intestine ulcers, ranitidine has been utilised. Additionally, it was used to treat illnesses including Zollinger-Ellison syndrome, which is caused by an excess of stomach acid.
In addition to treating heartburn, gastroesophageal reflux disease (GERD) and other disorders where stomach acid backs up into the oesophagus were also treated with ranitidine. A histamine (H2)-receptor blocker called famotidine slows the breakdown of pepsinogen into pepsin. A prostaglandin called misoprostol boosts the creation of stomach mucosa. A proton pump inhibitor like rabeprazole reduces the production of hydrochloric acid. Metoclopramide speeds up gastric emptying and motility.
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a client with squamous cell carcinoma is receiving bleomycin. what is the priority assessment of the nurse when monitoring for side and adverse effects of bleomycin?
Pulmonary function studies, Cervical radiography, Echocardiography, and Electrocardiography is the main priority assessment of the nurse.
Which laboratory result should a nurse keep a careful eye on in a patient using antineoplastic medication?Prior to the administration of this drug, the following parameters must be periodically checked: complete blood count, platelet count, serum calcium, cholesterol, and triglyceride level. During the course of the drug therapy, Options A, C, and D are not observed.
Bleomycin: Does it lead to acute leukemia?"There is substantial evidence in humans for the carcinogenicity of etoposide in combination with cisplatin and bleomycin," the International Agency for Research on Cancer stated in a qualitative risk assessment. Acute myeloid leukemia is brought on by the use of etoposide in conjunction with cisplatin and bleomycin [16].
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on her first prenatal visit to the doctor, marlene is warned about the dangers of drinking alcohol while pregnant. if she drinks, which condition could affect her unborn child?
Conditions that affect a baby in the womb when consuming alcohol can cause Fetal Alcohol Syndrome (FAS) or fetal alcohol syndrome, which is a disorder of fetal growth restriction, disorders of the central nervous system, and facial deformities.
In chemistry, alcohol is a general term for any organic compound that has a hydroxyl group attached to a carbon atom, which is itself bonded to other hydrogen atoms and/or carbon atoms.
The function of alcohol is as an antiseptic (kills or inhibits the growth of microorganisms), to clean wounds, and to clean medical devices. Types of alcohol in liquor can be divided based on levels. Group A contains 1-5% alcohol, group B contains 5-20% alcohol, and group C with the highest alcohol content, which is around 20-45%.
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a weight loss plan that may successfully lead to weight loss but does not consider the nutritional requirements and other health issues is (a) .
A weight loss plan that may successfully lead to weight loss but does not consider the nutritional requirements and other health issues is a fad diet.
Plans marketed as the finest and quickest way to lose weight are called fad diets. However, several of these diets call for skipping meals that include the nutrients your body needs to stay healthy. Some diets blame specific hormones for weight gain, implying that eating can alter the body's chemistry. These diets are frequently poorly or incorrectly researched.
Every fad diet has one thing in common: it suggests a short-term cure to a problem that, for many people, is a lifetime issue. When a diet is discontinued, the weight lost usually comes back rapidly. Fad diets aren't sustainable for the rest of your life since they don't emphasize lifestyle improvement, which is important to keep the weight off.
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What is the complementary strand of dna that is made during dna replication if the template/parent strand of dna reads atg ggc?.
TAC CCG GTA is the complementary strand of DNA that is made during DNA replication if the template/parent strand of DNA reads ATG GGC.
DNA replication is a type of biological process in which one original DNA molecule splits into two identical replicas. Before a cell divides, this procedure creates a copy of the DNA within the cell.
Both of the two chains combine to form a double helix of DNA when it comes to the complimentary strand, and equivalent places on the two chains are made up of a pair of complementary bases.
Adenine A, for instance, should be complementarily bonded to thymine and vice versa if it is present in the paternal DNA. Similarly to this, if cytosine is found in the paternal strand of DNA, guanine and vice versa should complementarily bind to it.
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the nurse is reviewing a new prescription for promethazine. the nurse will immediately contact the health care provider if the prescription is for which client?
Children under the age of six should not be given promethazine containing cough and cold medications. These medications must only be taken as directed by a pharmacist.
Promethazine medication can be harmful to children under the age of six. Some are designated as 12+ and others as 16+. Ask your doctor or pharmacist for their recommendations. Some adults should not use promethazine. Inform your doctor or pharmacist if any of the following apply so they can ensure your safety:
have primary angle closure glaucoma, an eye conditionhave issues emptying your bladder or having seizures due to epilepsy or another medical conditionare scheduled for an allergy test.You might need to stop taking promethazine a few days prior to your test because it can impact your results. Ask the pharmacist where your allergy test is scheduled if you cannot consume any alcohol because certain liquid promethazine products contain a very little quantity of alcohol while you are trying to get pregnant. Home pregnancy tests might be affected by methadone. Speak with your doctor if you believe you are pregnant so they can schedule a blood test in its place.
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part of the screening orthopedic component of the examination includes evaluating the person while he or she is:
Part of the screening orthopedic component of examination may include evaluating the person when he/she is: duck walking four steps assesses hip, knee, and ankle range of motion, strength, and balance.
How is screening orthopedic component of the examination done?The most important things to consider when conducting an orthopedic examination are symmetry of muscle, stature and joint movement.
Your first orthopedic appointment will mostly include a comprehensive medical history evaluation, X-rays or MRI and physical tests.
Common orthopedic tests are: bone densitometry, skeletal scintigraphy, discography, myelography and electromyography. These tests usually rely on proven technology like X-ray, MRI, ultrasound and computed tomography.
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the nurse aide is preparing to ambulate a client who is unsteady. it would be best for the nurse aide to use a:
When ambulating an unsteady client, it is best for the nurse aide to use a gait belt
Ambulation is the ability to move about without the aid of any kind. It is most frequently used to describe a patient's objectives following surgery or physical treatment.
A gait belt is a tool that aids in fall prevention. A vulnerable individual, such a hospital patient, runs the danger of falling while walking, transitioning from a chair to a bed, or rising from a seat to standing. Gait belts can also aid in getting in and out of a vehicle.
When assisting a client with ambulation, a gait belt enables the client to walk with assistance and reduces the risk of a fall should the client grow weak. The nurse assistant's back is less stressed as a result. Additionally, a gait belt can help a customer get up from a sitting posture and shift to a chair.
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a nurse is assessing a client who is postpartum following a vacuum-assisted birth. for what finding should the nurse monitor to identify a cervical laceration?
The nurse assessing a client who is in postpartum following a vacuum-assisted birth should monitor slow trickle of and a Vaginal discharge firm fundus to identify a cervical laceration.
Vaginal discharge can have causes other than underlying disease. Menstruation, and certain hygienic methods such as bidets are examples.
A recognized cause of postpartum hemorrhage has been discovered as cervical laceration. Postpartum hemorrhage is excessive bleeding that occurs after a baby is born. With a cesarean birth, it is more probable. Although it might occur later, it often occurs after the placenta is delivered.
Postpartum hemorrhage can also result from:
tear in the cervix or vaginal tissues Blood clotting issues Blood vessel tear in the uterus Placenta issuesFor more information on cervical laceration, visit :
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Which of the following statements is true? Challenging behavior:
Can affect the safety of the person you support and others
O Is normally meaningless
O is always a permanent feature of the person
Can be used as a good way to label or diagnose people
the student nurse asks whether there are any precautions to observe when giving digoxin to an infant. what medication safety precautions should be observed when giving this medication?
The student nurse asks about the precautions to observe when giving digoxin to an infant. When giving this medication, the precautions should be observed are:
The apical pulse should be taken for one full minute before administration.Hold the drug if HR is less than 90 in infants.Double-check the dose before administering (1 ml or less for the infant).Monitor for s/s of digoxin toxicity.What is digoxin?Digoxin is a drug used to treat irregular heartbeats or arrhythmias, including atrial fibrillation. This medicine works by reducing the heart's strain to slow the heart rate.
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a client is receiving a nitroglycerin transdermal patch daily. which assessment finding indicates that the practical nurse (pn) should withhold the next dose?
Blood pressure 90/60 mm Hg.
When nitroglycerin induces vasodilation and can result in hypotension, the dose should be held back and the patient should be informed of the situation.
While an elevated apical heart rate is not a reason to stop taking the medication.
Although they are an atypical finding, the transdermal patch does not need to be withheld if there are bilateral crackles in the bases of the lungs.
Redness at the last application site signals that it is time to rotate the spot where the drug was applied, not to stop.
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a client diagnosed with hyperthyroidism has been prescribed propylthiouracil. after administering the drug, which assessment finding should the nurse prioritize?
Skin assessment. An antithyroid drug is called propylthiouracil. It functions by making the body's utilisation of iodine to produce thyroid hormone more difficult.
Thyroid hormone produced by the body before its use does not have its effects blocked. Only with a prescription from your doctor and the necessary medical care Propylthiouracil is this medication accessible.
Propylthiouracil is used to treat hyperthyroidism, a condition where the thyroid gland generates excessive thyroid hormone, as well as Graves' disease. It may also be used by patients before getting their thyroid completely removed or undergoing radioactive iodine therapy if they have previously undergone treatment with other drugs that did not work adequately.
Side effects associated with the drug propylthiouracil include:
Angioedema nodosum, exfoliative dermatitis, eczema, open wounds, skin infection, baldness, Stevens-Johnson disorder, necrotizing necrolysis are all examples of dermatological conditions.Acute interstitial nephritis, acute kidney damage.Internal: nausea, vomiting, stomach discomfort, loss of taste, taste distortionNeurological symptoms include neuritis, headaches, paresthesia, fatigue, and vertigo.Learn more about Propylthiouracil
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a client who is receiving lithium carbonate has a serum level of 1.8 meq/l. which intervention will the nurse implement in response to this diagnostic result?
Keep an eye out for signs of ataxia in the client. A prescription drug called lithium carbonate is used to treat the bipolar disorder symptoms.
Lithium Carbonate is a member of the pharmacological class known as Bipolar Disorder Agents. If lithium carbonate is safe and effective in children under the age of 7 is unknown.
By reestablishing the proper balance of specific natural drug compounds (neurotransmitters) in the brain, it helps to calm the mood and lessen excessive behaviour. The benefits of continuing to take this drug include reducing the frequency of manic episodes and reducing their symptoms, such as exaggerated sensations of wellbeing, thoughts that people are trying to harm you, and irritability. You can take lithium carbonate by itself or in combination with other drug. Speech, balance, and coordination are impacted by ataxia, a group of related diseases.
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a client with multiple myeloma reports severe paresthesia in the feet. when planning care for the client, which priority nursing diagnosis will the nurse choose?
Nurse will prioritize in preventing Risk for falls. Myeloma cells can occasionally create aberrant proteins that are nerve-toxic. A "pins and needles" feeling occur along with numbness and weakening in bone.
An instance of bone marrow malignancy is multiple myeloma, also called myeloma. The spongy tissue that is located in the centre of some bones and is known as bone marrow is where the body makes its blood cells.
The malignancy, which frequently affects the spine, skull, pelvis, and ribs, is known as multiple myeloma because it frequently spreads to various body parts. Side effects may not occur or might be vague, like loss of hunger, bone pain, and fever.
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The question was incomplete. Check below the complete question.
A client with multiple myeloma reports severe paresthesia in the feet. When planning care for the client, which priority nursing diagnosis will the nurse choose?
a. Risk for falls
b. Impaired tissue integrity
c. Acute pain
d. Sensory-perception disturbance
while assessing the progress of the labor, the nurse explains that the fetal heart rate variability is moderate. which explanation is best to use with the parents?
While assessing the progress of the labor, the nurse explains that the fetal heart rate variability is moderate. FHR fluctuates from 6 to 25 beats per minute.
Fetal heart price monitoring measures the heart price and rhythm of your infant (fetus). This we could your healthcare provider see how your toddler is doing.
However, did you understand that your baby's heartbeat definitely starts for the duration of your 2d month of being pregnant all through your 2d month, your infant's coronary heart is now beating 80 instances a minute. Your little one's heart has already started to absolutely shape, and by way of now may have four hollow chambers.
Care issuer may do fetal coronary heart mon Fetal coronary heart tracking allows your physician get a sense of ways the child is doing. It facilitates the doctor recognize if there is a hassle that desires to be fixed. And it allows the medical doctor keep song of your toddler's heart charge at some stage in labour and delivery. observe-up care is a key a part of your treatment and safety.
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