Benzodiazepines - These drugs increase inhibitory signaling by enhancing the activity of the GABA-A receptor. One specific example of a benzodiazepine is diazepam (Valium).
Barbiturates - These drugs also increase inhibitory signaling by enhancing the activity of the GABA-A receptor. One specific example of a barbiturate is phenobarbital.
Flumazenil - This drug is an antagonist of the GABA-A receptor, which means it decreases inhibitory signaling by blocking the activity of the receptor. This is a specific example of a drug that modifies the GABA-A receptor function by decreasing the inhibitory signaling.
All three classes of drugs mentioned above work by binding to specific sites on the GABA-A receptor, altering its activity and thereby modulating the inhibition/excitation balance in the brain, which ultimately leads to the therapeutic effects of these drugs.
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A researcher develops a 7-point Likert scale to evaluate feelings of well-being in patients who are undergoing chemotherapy. The researcher administers this measure to other, similar patients in other medical centers.
Answer: A Likert scale is a type of rating scale that is often used in survey research to measure attitudes, beliefs, or feelings. The 7-point Likert scale developed by the researcher in this scenario is designed to evaluate feelings of well-being in patients who are undergoing chemotherapy. The researcher intends to use this scale to measure the patients' self-reported feelings of well-being and to gather data on how well the patients are coping with the chemotherapy.
The researcher administers this measure to other, similar patients in other medical centers. This allows the researcher to gather a larger sample size and to generalize the findings from the study to a larger population of patients who are undergoing chemotherapy. Additionally, administering the measure in other medical centers allows the researcher to control for potential confounding variables that may be unique to the original medical center.
It is important to note that in order to ensure the validity and reliability of the measure, the researcher should ensure that the study is conducted in a controlled environment and that the sample size is large enough, also the researcher should analyze the data using appropriate statistical methods.
Explanation:
The researcher administers this measure to the same patients at other medical centers. This is done to improve test-retest reliability.
What is Likert scale?
A Likert scale is defined as a type of rating scale often used in survey research to measure attitudes, beliefs, or feelings, where in this scenario the 7-point Likert scale developed by the researcher is used to measure feelings of well-being is designed to evaluate the patients who are undergoing chemotherapy.
The researcher wants to use this scale to measure patients' self-reported feelings of well-being and collect data on how well patients are coping with chemotherapy, so they administered this measure to similar patients at other medical centers.
This allows the researcher to collect a larger sample size and generalize the findings from the study to a larger population of patients who are undergoing chemotherapy.
Thus, the researcher administers this measure to the same patients at other medical centers. This is done to improve test-retest reliability.
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the nurse is caring for an infant who was injured in a severe automobile accident. the child experienced several fractures and is in significant pain. the child's mother questions if this will impact her child later in life. what information should be provided by the nurse?
Yes, it will impact the child later in life as experiences with pain even in infancy can influence an individual's response to pain later.
Which is the most appropriate way to assess a child's pain?In infants, pain is difficult to assess correctly and reliably, and no one approach of pain assessment has been proved for children of all ages. Because pain is a subjective feeling, self-reporting approaches are widely accepted as the most effective pain indicators. The Neonatal/Infant Pain Scale is primarily used in infants under the age of one year. Before, during, and after an operation, a number score is awarded to each of the following: facial expression, cry, breathing rate, arms, legs, and level of awareness. A score of 3 or above indicates pain.
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during a well-child visit for a 2-month-old infant, the nurse explains the need to perform a hearing screening on the child within the next few months. the child's mother reports she has not noticed any deficits and does not see the need for this being done. which response by the nurse is indicated?
Unfortunately, baby hearing loss is frequent, so it's judicious to have your child's hearing checked before they come 6 months old to rule out any issues. A six- month old should have their hailchecked. However, this will grease early intervention, If necessary.
What about the nursing leadership roles?A nanny leader makes choices and attends patient care enterprises while supervising a platoon of nursers.They're committed to enhancing patient health issues and retain superior clinical knowledge.A nanny leader's main duties include effects like keeping up with medical exploration developments.Leadership capacities are used by clinical and bedside nursers to plan, direct, and support case care as well as other healthcare platoon members.They're also patient advocates and have strong communication capacities.No matter what their title, nursers in all positions are anticipated to parade leadership, and they must push both themselves and the assiduity to make important leadership doctrines.A leadership position involves managing a group of people or an entire association.Communication chops are pivotal for a nanny leader, especially when it comes to patient care.These chops are necessary for any strong leader and are more important for a nanny leader.Because it encourages better case issues and increased job satisfaction among staff nurses, exploration reveals that the transformational leadership style in nursing is generally regarded as the gold standard in nursing leadership.Learn more about nursing leadership role here:
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Which statements made by a nursing student indicate that the student has an appropriate knowledge base regarding the pregnancy hormone human chorionic gonadotropin (hCG)? Select all that apply.1."Maximum level of human chorionic gonadotropin is reached at term."2."Human chorionic gonadotropin is the hormone responsible for a positive pregnancy test."3."Human chorionic gonadotropin may be present as early as 8 to 10 days following conception." 4."Human chorionic gonadotropin is produced by the trophoblastic cells that surround the developing embryo."5."Human chorionic gonadotropin preserves the function of the ovarian corpus luteum so that estrogen and progesterone are produced before placental functioning."
The hormone that causes a positive pregnancy test, human chorionic gonadotropin, can be detectable as young as 8 to 10 weeks after conception, according to a nursing student.
How does pregnancy develop? What is it?The period during which a newborn develops inside of the woman's pregnancy or uterus is known as a pregnancy. When counting beginning with the last menstrual cycle through delivery, a pregnancy typically lasts approximately four to six weeks, or just about 9 months.
What occurs initially when you become pregnant?The onset of mild spotting could be among the early signs of pregnancy. Recurrent bleeding, also referred as embedding, takes place when a fertilized egg attaches to the womb's wall about ten to fourteen before fertilization.
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they are brought to a room and evaluated by the md who requests a glucose check. glucometer reads 456 mg/dl. the md places the following order in the mar: iv ns bolus stat 20 ml/kg over 20 minutes how many ml of ns will be administered iv?
The IV dosage of ns would be 454 ml.
What is a normal saline IV bolus?It's a crystalloid liquid that is injected intravenously. Its indications list both adult and child population as potential causes of electrolyte and hydration problems. It can have different concentrations; the two that are being discussed here are 0.9% and 0.45%.
What does a diabetes glucometer do?The amount of sugar in a blood sample is measured using a small instrument known as a glucose monitor or glucometer. It is frequently sufficient to use a drop of blood from a finger pinch on a testing kit. A april device that rapidly pinch the fingertip or a particular needle (lancet) can be used to pinch a finger.
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discuss a patient interaction in which there was transference, countertransference, prejudice/biases or judgments that you may be making about the patients or that they are verbalizing about you.
Subconsciously connecting a current person with a former relationship is known as transference. A new client, for instance, reminds you of a former partner.
Responding to them with all the memories and emotions associated with that previous connection is known as countertransference.In therapy, this refers to a client projecting their feelings about someone else onto their therapist. Transference is defined as the redirection of feelings toward a specific person onto someone else. Redirecting a therapist's feelings toward the client is known as countertransference.How then does transference differ from countertransference? The opposite of transference is essentially countertransference. Contrary to countertransference, which is the therapist's emotional response to the client, transference concerns the client's emotional response to the therapist.To know more about Doctor here
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As a future physical therapist, how will you decrease the social stigma brought about by the mental disorder of your patient?
What factors might influence a pharmacy technician's wage? Check all that apply.
Oworking nights or weekends
O personal expenses
O geographic location
O certification
O interest in the work
+
The following factors might influence a pharmacy technician's wage are-
working nights or weekends, geographic location and certification.
What factors affect the pay of a pharmacy technician?
A number of factors, such as experience, place of employment (a company or location), particular job responsibilities, the medical setting, and educational background, can affect a pharmacy technician's pay.
Pharmacy is the preparation and standardization of drugs; it is a science and an art. The growing of medicinal plants, creating chemical compounds with medicinal value, and examining therapeutic agents are all included in its purview.
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two years ago, a client was prescribed a medication to control hypercholesterolemia. now the health care provider prescribes a higher dose of the medication due to enzyme induction. a student nurse asks the nurse to explain the change in the drug dosage. the nurse explains that with chronic administration, some drugs stimulate liver cells to produce:
Reasons for hyperlipidemia Smoking, eating poorly, & seldom exercise are just a few of the lifestyle factors that can contribute to high blood cholesterol. Associated medical disorders like high blood pressure or diabetes might also cause it. abetes.
What is the main reason for high cholesterol?Causes of Hyperlipidemia consuming a diet heavy in trans and saturated fats, which are frequently found in processed food and animal meat. eating foods rich in cholesterol, like red meat and dairy products with added fat.
If I have hypercholesterolemia, what foods should I avoid?Vegetables, fruit, and healthful grains in abundance. a wide range of nutritious, high-protein foods, including legumes (like beans and lentils), nuts, seeds, and fish and seafood in particular. A heart-healthy diet plan can also include smaller portions of eggs & lean chicken.
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hyperventilation respiratory acidosis or alkalosis
as part of a class presentation, a nursing instructor describes the characteristics shared by all cultures. which description of culture being tacit indicates that the teaching was successful?
The description of culture being tacit which indicates that the teaching by nurse was successful is: (A) Culture is mostly unexpressed.
Tacit is the word that means the expression of something without the use of words or speech. Since something is not expressed by the means of words, it is considered to be unexpressed. This is the reason why culture is said to ne unexpressed.
Culture is a broad term that comprises of social beliefs, norms, knowledge, art, morals, law, custom, etc. Culture can be considered as the way of living life which is passes on from generation to generations.
The given question is incomplete, the complete question is:
As part of a class presentation, a nursing instructor describes the characteristics shared by all cultures. which description of culture being tacit indicates that the teaching was successful?
A) Culture is mostly unexpressed.
B) Cultures do not remain static.
C) Culture is a functional and integrated whole.
D) Patterns of cultural behavior are acquired.
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When John grabbed the handle of a hot pan on his stove, he sustained burns on the ____ surface of his hand.
A) superior
B) palmar
C) plantar
D) pronate
John burnt the palmar aspect of his finger when he grabbed this same bottom of something like a hot pan from his stove.
Burns are what?An infection to the skin and perhaps other organic tissue known as a burn is one that is primarily brought on by heat, radiation, radioactivity, electricity, friction, or contact with chemicals. Once a portion or all of body's natural cells and perhaps other tissues are damaged by liquids, mechanical (heat) burns result.
What kind of burn is the most painful?Burns to the skin's surface hurt the most at first. A patient feels agonizing agony at the least alteration in the air currents passing by the exposed superficial dermis. Nerve endings become sensitive and vulnerable to stimuli when the protective layer of the epidermis is absent.
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a benign tumor that arises in, or resembles, glandular tissue is called
which finding will the nurse expect during the assesment when a client with ahistory of chronic myelogenous leuemia and splenomegaly
The nurse will look for left upper quadrant soreness during the examination of a patient who has a history of chronic myelogenous leukemia and splenomegaly.
Normal spleens are not palpable, but splenomegaly, which frequently goes hand in hand with chronic myelogenous leukemia, causes a palpable and tender lump in the left upper abdomen. These conditions have no impact on urine output. Increased metabolic rate brought on by leukaemias causes weight loss. Anemia results from decreased erythrocyte production and increased erythrocyte breakdown associated with leukemia and splenomegaly.
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difference between cardioversion and defibrillation
Defibrillation and cardioversion have fundamental differences: Defibrillation Asynchronous energy delivery is what defibrillation is. Energy delivery synchronized with the QRS complex is known as cardioversion.
Which two types of cardioversion are there?Cardioversion can be of two different forms. Drugs that can calm a hyperactive heart are used in chemical cardioversion. One or more swift electric shocks are administered to the heart during electrical cardioversion.
What distinguishes defibrillation from cardioversion?The timing of the transmission of electrical current is one of the primary distinctions between cardioversion and defibrillation. In CARDIOVERSION, the supply of the electrical current is timed to the electrical events occurring in the patient; in DEFIBRILLATION, the delivery of the current is abrupt and untimed.
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Laboratory tests which can contribute toward the diagnosis of Glanzmann Thrombasthenia include all of the following EXCEPT:A. PT and aPTTB. Non-anticoagulated blood films (e.g. smears from a finger stick)C. Platelet aggregation testsD. Flow cytometry
The results of laboratory tests with severe Glanzmann Thrombasthenia demonstrate no platelet aggregation in response to any physiologic agonists and minimal or no clot retraction.
What is clot retraction?A blood clot "shrines" over a period of days and is known as clot retraction. In doing so, the blood vessel wall's edges at the site of the injury are gradually brought back together to repair the harm that was done.
Platelets trapped in the fibrin mesh of the clot must release various coagulation factors in order for the clot to retract. Thus, inability to retract may indicate thrombocytopenia or the uncommon condition thrombasthenia. Before this condition manifests, blood clot prevention may be beneficial.
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an 82-year-old is suffering from acute anxiety and is prescribed alprazolam (xanax) by the health care provider. what steps can the provider take to ensure that the client will be at a decreased risk for injury?
The provider must prescribe a smaller dose to ensure that the client will be at a decreased risk for injury.
It is far critical that drug references typically utilized by physicians comprise the brand new records approximately lower, powerful drug doses, in order that this records may be disseminated in an organized, ongoing way to enhance medicine remedy and save you dose-associated ADEs. A height is the best degree of a medicine withinside the blood, at the same time as a trough degree shows the bottom awareness. Troughs of medicine awareness arise after the drug has been damaged down and metabolized with the aid of using the body. Social support from a network of family, friends, peers or a support group helps anxious people cope better with stress
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the client received epidural anesthesia during labor and had a forceps delivery after pushing for 2 hours. at 6 hours postpartum, the client's systolic blood pressure (bp) dropped 20 points, the diastolic bp dropped 10 points, and her pulse is 120 beats per minute. the client is very anxious and restless. the nurse is told that the client has a vulvar hematoma. based on this diagnosis, the nurse would plan which action?
The first few days after delivery, your bleeding (also called lochia) is bright red; it changes to dark red, then brown, much like a normal period.
What is epidural anesthesia?
Epidural anesthesia is a technique for perioperative pain management with multiple applications in anesthesiology.An epidural is the most common type of anesthetic used for pain relief during labor.You'll likely experience a minor pinch when your provider injects the local anesthetic to numb the area before the epidural procedure. You may feel pressure, tingling, a burning sensation or momentary shooting pain when your provider injects the epidural. Or you may not feel anything.
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what is the purpose of a spacer or extender used with a metered-dose inhaler?
A spacer is an accessory for metered-dose inhalers. It helps the medicine to reach till lungs instead of inhaling it through the mouth.
It is frequently advised to use a spacer since using the proper technique with a metered-dose inhaler can be challenging. A spacer is a part of meter dosed inhalers which is used to direct medicine to lung airway instead of giving it through the mouth. This improves the medication's effectiveness and reduces negative effects.
Steps to Use a Spacer with an MDI (Meter Dosed Inhalers)
Shake the spacer after inserting the inhaler or canister.Breathe out.In your mouth, place the spacer mouthpiece.Once, apply pressure on the inhaler.Inhale gently (for 3-5 seconds).10 second breath hold.To learn more about inhalers click here:
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the nurse should caution an older adult client against using diphenhydramine hydrochloride because of what increased risk?
Diphenhydramine hydrochloride is the antihistamine generally used to treat disinclinations or to help with sleep.
For aged grown-ups, this drug carries an increased threat of side goods, including doziness, confusion, and difficulty concentrating. In some cases, this drug can also beget an irregular twinkle or indeed an increase in the threat of cascade. Aged grown-ups should be advised against the use of this drug and should bandy the pitfalls and benefits of this drug with their healthcare provider before taking it. also, they should be apprehensive of any other specifics they're taking and how they could interact with diphenhydramine hydrochloride, as this could increase the threat of side effect.
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as the baby boomer generation ages, more and more joint replacement surgeries take place each year. hip replacement surgery is the gold standard of all joint replacement surgeries, with many patients able to walk just a few hours after surgery and return home the very next day. in contrast, knee replacement surgery usually requires hospital stays of several days, followed by weeks to months of physical therapy. what best explains why the recovery after hip replacement surgery is so much faster than after knee replacement surgery?
More structures than the hip joint stabilise the knee joint.
An operation to replace a hip is significantly less painful. After using crutches for a while, people's hips feel normal again. However, the knee doesn't feel completely normal for six to twelve months after total knee surgery. As a result, full recovery times for replacement hips are typically quicker than those for replacement knees. A complete recovery typically takes 3–12 months for a knee replacement and 2–6 months for a hip replacement.An operation to replace a hip is significantly less painful. After using crutches for a while, people's hips feel normal again. But even after recovering from a total knee replacement, it takes six to a year for the knee to feel normal.
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the nurse has given dietary instructions to a client to minimize the risk of osteoporosis. the nurse determines that the client understands the recommended changes if the client verbalizes the intention to increase intake of which foods? select all that apply.
Osteoporosis clients stated the intention to increase their intake is milk and processed products, green vegetables, and fish.
What is osteoporosis?Osteoporosis is a condition when bone density decreases so that bones become porous and break easily. Osteoporosis rarely causes symptoms and is usually only discovered when the sufferer falls or suffers an injury that causes a broken bone. Osteoporosis is caused by a decrease in the body's ability to regenerate bone so that bone density decreases.
Some foods that can help with osteoporosis recovery are:
Milk and its processed productsSpinachSalmon, sardines, tunaWhite tofuCheeseYour question is incomplete. Maybe the meaning of your question is:
The nurse has given dietary instructions to a client to minimize the risk of osteoporosis. the nurse determines that the client understands the recommended changes if the client verbalizes the intention to increase intake of which foods? select all that apply.
Milk and processed products, green vegetables, and fish.Meat and preparationsLearn more about the prevention of osteoporosis here :
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transfer of an infectious agent through a contaminated object or person.
The introduction of an infectious agent through a contaminated intermediate object or person is known as indirect transmission. It is challenging to ascertain how indirect transmission happens in the absence of a point-source outbreak.
However, a wealth of data in the Guideline for Hand Hygiene in Health-Care Settings indicates that contaminated hands of healthcare workers are significant contributors to transmission via indirect contact. Opportunities for transmission via indirect contact include:
If healthcare workers do not wash their hands before touching another patient after touching an infected or colonized body site on one patient or a contaminated inanimate object, they risk spreading germs to that patient.
If patient-care items, such as electronic thermometers and glucose monitors, that have been contaminated with blood or bodily fluids are transferred without being cleaned and disinfected between patients, they may spread pathogens.
Toys that are shared among young patients run the risk of spreading harmful bacteria like Pseudomonas aeruginosa or respiratory viruses like respiratory syncytial virus and.
Inadequately cleansed equipment (such endoscopes or surgical instruments) between patients before disinfection or sterilization, or instruments with manufacturing flaws that hinder the efficiency of reprocessing, may spread bacterial and viral infections.
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which nursing intervention has the highestpriority when providing care to a client after an arthroscopy?
The loftiest precedence nursing intervention when furnishing care to a customer after an arthroscopy is to cover the customer’s vital signs.
This includes taking their temperature, palpitation, respiration rate, and blood pressure. It's important to cover these vital signs nearly to insure that the customer is recovering meetly and that there are no signs of infection or farther complications. also, it's important to observe the customer for signs of pain, anxiety, and discomfort, and administer pain drug as demanded. It's also important to cover the customer’s urine affair and insure acceptable hydration situations. It's also important to check the gash point for signs of infection, as well as to give dressing changes and crack care as demanded.
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what is the purpose of placing a child in cervical traction after sustaining a fractured cervical vertebra
A number of cervical disorders can be symptomatically treated with cervical traction, a non-invasive treatment. Although it may provide short-term symptom alleviation, there is little information on its long-term safety and therapeutic effectiveness.
The interprofessional team's role in providing care for patients who need cervical traction is highlighted in this activity, which discusses the indications, contraindications, and techniques involved in performing cervical traction.
Hippocrates originally is the mentioned spinal traction as a method of treating kyphosis in the fourth century BC, when it was already a common procedure. Later, it was used for additional spinal disorders such myelopathy and cervical discomfort.
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a nurse is about to enter the room of a client with a strain of influenza a. the nurse prepares to don ppe. which would be appropriate? select all that apply.
A nurse is about to enter a client's room who has a strain of influenza A. The nurse is getting ready to do ppe: Gloves, Gown, Mask with face shield.
What is influenza?The flu wreaks havoc on the lungs, nose, and throat. Young children, elderly people, pregnant women, and people with chronic diseases or weakened immune systems are especially vulnerable. Fever, chills, muscle aches, cough, congestion, runny nose, headaches, and fatigue are some of the symptoms. The flu is primarily treated with rest and fluids to allow the body to fight the infection on its own. Anti-inflammatory pain relievers sold over-the-counter may help with symptoms. An annual flu vaccine can help prevent and limit the severity of the flu. An influenza virus causes the flu. Most people get the flu by breathing in tiny airborne droplets from someone else's coughs or sneezes.
Here,
A nurse is about to enter a client's room who has a strain of influenza A. The nurse is getting ready to do ppe: Gloves, a gown, and a mask with a face shield.
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Complete Question:
a nurse is about to enter the room of a client with a strain of influenza a. the nurse prepares to don ppe. which would be appropriate? select all that apply.
Non-sterile gloves
Masks
Gowns
Protective eye wear
The thermic effect of food accounts for approximately ______ of energy consumed each day.
O 5% to 10%
O 11% to 15%
O 16% to 20%
O None of these
Approximately 10% of daily energy expenditure is attributable to thermic effects of meals.
What proportion of your daily energy is provided by food consumption?About 10% The increase in energy required to absorb, digest, and process food is known as the thermic effect of food. Generally speaking, it accounts for 10% of an individual's total energy usage.
What does the body use up, say, 50% or more of its energy each day?The biggest daily energy expenditure is determined by the body's BMR (50–80 per cent of your daily energy use). Your body utilizes energy to breakdown the food and liquids you consume as well as to absorb, transport, and store their contents. This process is known as the thermogenic effect of food (also known as thermogenesis).
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Paper-based medical records still exist; however, they are inefficient, easy to misplace and misfile, and costly to manage, move, and store.
Indicate whether the statement is true or false
The statement is true that Paper-based medical records still exist; however, they are inefficient, easy to misplace and misfile, and costly to manage, move, and store
Paper-based medical records still exist, but they are becoming increasingly inefficient due to the rise of electronic medical records (EMRs). These paper-based records are difficult and time-consuming to manage, move, and store, and they are prone to errors such as misfiling, misplacing, and loss. In addition, paper-based records have limited access and limited use of data.
For instance, physicians in different locations cannot easily access the same patient records, and data analysis is nearly impossible. Furthermore, paper-based records are costly to maintain, as they require extensive storage space and require physical transport for archival.
In contrast, EMRs are far more efficient and convenient, as they offer real-time patient information, provide easy access to data, and can be retrieved and analyzed quickly. As such, paper-based medical records are becoming increasingly obsolete in the modern healthcare system.
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the nurse is called to a client's room 15 minutes after the client has received a new medication. the client reports pruritus as well as nausea. the nurse notes that the client appears pale, is sweating, and has begun to cough and wheeze. the nurse determines that the client is experiencing what type of reaction related to the new medication?
Although the physiologic similarities with an itch and nausea may not be immediately apparent, they both play a part in the body's defense mechanism against irritants and toxins by inducing scratching & vomiting, respectively. Additionally, in some disorders like uraemia, itch and nausea usually coexist.
What conditions can have nausea as a symptom?In contrast to popular belief, nausea and vomiting are symptoms of a wide range of medical illnesses, including infection (sometimes known as "stomach flu"), foodborne illness, motion sickness, overeating, obstructed intestines, illness, concussion and brain injury, appendicitis, and migraines.
When should I worry if I feel queasy?Consult your doctor right away if: Vomiting can last for more than 2 days in adults, for 24 hours in children under two, and for 12 hours in newborns. It has been more than a month since you last experienced episodes of nausea and vomiting. You've lost weight without cause, and you've also been sick to your stomach.
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antihypertensive medications that stimulate rather than inhibit type 2 and 4 angiotensin ii receptors is
The medications are ARBs, thia-zide diu-retics, and DiC-CBs are generally thought to upregulate angiotensin II production,
Angi-otensin receptor blockers (ARBs), additionally called angi-otensin II receptor antag-onists, are used to deal with excessive blood stress and coronary heart failure. They also are used for persistent kidney disorder and prescribed following a coronary heart attack. They encompass irbesartan, valsartan, losartan and candesartan. ARBs are desired for sufferers who have negative reactions to ACE inhibitors. (SOR A, primarily based totally on a meta-analysis.) ARBs reason much less cough than ACE inhibitors, and sufferers are much less probable to stop ARBs due to negative effects.
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Complete question:
What medications stimulate type 2 and 4 angiotensin II receptors, antihypertensive medications that stimulate rather than inhibit type 2 and 4 angiotensin ii receptors is?
