A patient has returned to his room after a thyroidectomy with signs of thyroid crisis. During thyroid crisis, exaggerated hyperthyroid manifestations may lead to the development of the potentially lethal complication of:
During thyroid crisis, exaggerated hyperthyroid manifestations may lead to the development of the potentially lethal complication of Thyroid storm.
What is a major complication of hyperthyroidism?The most serious complications of hyperthyroidism is the heart that include a rapid heart rate, a heart rhythm disorder which is also known as atrial fibrillation that increases the risk of stroke, and congestive heart failure that is a condition in which our heart can't circulate enough blood that meet your body's needs. Thyroid storm is also known as thyrotoxic crisis which is an acute, life-threatening complication of hyperthyroidism. It is an exaggerated form of thyrotoxicosis.
So we can conclude that During thyroid crisis, exaggerated hyperthyroid manifestations may lead to the development of the potentially lethal complication of Thyroid storm.
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The Medicare program is made up of several parts. Which part is affected by the Centers for Medicare
The Medicare program is made up of several parts. Which part is affected by the Centers for Medicare Medicaid Services - Hierarchical Condition Categories.
Centers for Medicare and Medicaid ServicesUnder meaningful use, and now the MIPS part of MACRA, CMS determines whether healthcare providers have successfully used health IT systems.Sets Medicare and Medicaid reimbursement rates for healthcare providers that use federally certified health IT systems.Hospital Insurance, medical Insurance, medicare Advantage Plans, prescription drug coverage are the four parts of medicare.Each component of Medicare has a distinct cost and includes a variety of services. Maximize the Medicare coverage by being aware of what each section covers and how much it costs.
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The nurse is caring for a client diagnosed with acute pericarditis. Which assessment finding would cause the nurse to immediately contact the health care provider
Jugular venous distention (JVD) to jaw level would cause the nurse to immediately contact the health care provider for a client diagnosed with acute pericarditis.
The fluid-filled bag surrounding your heart becomes inflamed when you have acute pericarditis, a painful illness. Infections, cancer, or cardiac surgery can all cause this. It normally doesn't pose a threat on its own, but it exhibits heart attack-like symptoms.The JVD suggests that the patient may have experienced cardiac tamponade and may require quick care to keep their cardiac output at a healthy level. The problems of pericarditis would not be associated with hypertension, and the patient's blood pressure is not high enough to warrant contacting a medical professional right away. 8 mm Hg of pulsus paradoxus is considered typical. Level 6–10 chest pain that requires medical attention yet is common in cases of pericarditis.DISCLAIMER
Which assessment finding obtained by the nurse when assessing a patient with acute pericarditis should be reported immediately to the health care provider?
a. Pulsus paradoxus 8 mm Hg
b. Blood pressure (BP) of 168/94
c. Jugular venous distention (JVD) to jaw level
d. Level 6 (0 to 10 scale) chest pain with a deep breath
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The procedure known as ____________________ is the use of a laser to reattach a retinal detachment.
Laser retinopexy is an in-office laser procedure which utilizes a laser to create a barricade (laser forms scar tissue) between the normal attached retina and the area of detachment.
A scleral buckle is a procedure performed for the repair of a retinal detachment. The term, “scleral buckle,” describes both a procedure and a piece of hardware that is placed on the eye. The procedure, itself, is a method of reattaching the retina without placing instruments inside the eye. In laser retinopexy, a strong light beam is applied around the tear to seal or “spot weld” the retina to the underlying tissues. This can stop the retina from detaching.
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A child with diabetes insipidus will be receiving injectable vasopressin when discharged from the hospital. What is the most important step when teaching injection techniques
The primary step is to train the health care professionals about the injection techniques and to determine if the child is of the appropriate age to receive the injection.
Good injection practice deals with selecting the appropriate site for administration. The route of administration of injection is mostly intramuscular in a child. The drug is delivered to the vascular muscle tissue and is rapidly absorbed into the circulation of the child. Diabetes insipidus is a disorder that leads to imbalanced fluid in the body. This causes frequent urination, a condition referred to as polyuria. Vasopressin is the anti-diuretic hormone, the lack of which causes diabetes insipidus. Administration of vasopressin externally helps the kidneys to retain water and prevent dehydration.
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Which instructions would the nurse provide when teaching nutritional therapy to a patient recovering from renal stones composed of calcium oxalate
Reduced dietary protein and sodium intake liberal fluid intake medications to acidify urine, such as ammonium chloride and thiazide diuretics if parathormone production is increased.
limited oxalate intake (spinach, strawberries, rhubarb, chocolate, tea, peanuts, and wheat bran)
What is Renal stones ?Kidney stones form when your urine contains more crystal-forming substances — such as calcium, oxalate and uric acid — than the fluid in your urine can dilute.
At the same time, your urine may lack substances that prevent crystals from sticking together, creating an ideal environment for kidney stones to form.Adding calcium-rich foods to meals helps reduce oxalate levels.Learn more about Renal stones here:
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The nurse is assessing a newborn who appears healthy and at term. Which assessment finding of the feet does the nurse predict to observe to confirm the status of at-term birth
Creases on two-thirds of the foot will confirm the status of at-term birth.
What is the significance of the foot in a new-born?The inspection of a newborn must include a thorough check of the feet. The newborn foot, which has between 26 and 28 bones, is complicated despite its relatively small size. Numerous malformations can be seen when both feet are simultaneously observed.
It is important to look closely at the skin for any unique folds or wrinkles that could result from different foot deviations. On one side of the foot, the skin may be abnormally loose and excessively skinfold, while other portions of the skin may be abnormally stiff, indicating additional tension on the skin.
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The nurse is caring for a postrenal transplantation client taking cyclosporine. The nurse notes an increase in one of the client's vital signs, and the client is complaining of a headache. What vital sign is most likely increased
Blood pressure vital sign is most likely increased.
What is blood pressure?Blood pressure is a measurement of the force of the blood against the artery walls. With each beating, the heart pumps blood into the arteries.If heart is beating and pumping blood, your blood pressure will be at its highest.A diet heavy in salt, fat, and/or cholesterol are common causes of high blood pressure. Chronic diseases include conditions including kidney and hormone problems, diabetes, and high cholesterol.Especially if your parents or other near relatives have high blood pressure, family history.The force that propels blood through the circulatory system is blood pressure. Without blood pressure, the circulatory system would not be able to transport nutrients and oxygen to nourish tissues and organs.Learn more about blood pressure here:
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Which procedure involves reconstruction of the urethra to relieve pain when voiding that is caused by a urethral stricture
Answer: PERINEAL URETHROSTOMY
Explanation:
SURGICAL PROCEDURE
Emt training in nearly every state meets or exceeds the guidelines recommended by the?
EMT training in nearly every state meets or exceeds the guidelines recommended by the: National Highway Traffic Safety Administration (NHTSA).
EMT route is a scientific path in which college students might take information approximately patient care and plenty of extra through numerous applications consisting of certificates, degrees, UG, and PG.
Almost, there are 60 institutes that provide this course in an expansion of a minimum of 10 courses. it is a popular direction this is affiliated with the Healthcare sector skill Council (HSSC).
Emergency scientific Technicians-simple (EMT-B) reply to emergency calls to provide green and instant care to the significantly unwell and injured and to transport the patient to a clinical facility.
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Michael was recently diagnosed with a tumor of the pituitary gland and underwent surgery to remove the entire mass. After surgery the nurse noted that michael was producing an extremely large volume of urine. What might be causing michael to do this?.
Micheal might be suffering from diabetes insipidus.
Diabetes insipidus
Diabetes insipidus is a condition in which the affected person has the urge to pee a lot and feels thirsty all the time. Even though it is not directly related to diabetes, it is named as such because the affected person has symptoms similar to diabetes. The two main symptoms are polydipsia and polyuria.
Cause of Diabetes insipidus
Diabetes insipidus is caused by the lack of production of antidiuretic hormone (ADH). ADH is produced by the hypothalamus which then gets stored in the pituitary gland. When the person was subjected to surgery to remove the entire mass of cancer cells in the pituitary gland, the ability of the gland to store ADH could have been lost.
The ADH allows the retention of water by concentrating the urine. In a person with diabetes insipidus, the production of AHD is affected, and in very rare cases the response by the kidneys to ADH is reduced which also reduces the water reabsorption and increases urine volume.
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Dozens of clients arrive in the emergency department with chemical burns and inhalation injuries from exposure to anhydrous ammonia gas released from a tanker truck on a highway. What is the priority action by the nurse
For chemical burns, the priority action by the nurse should be to Assist clients to remove contaminated clothing and shower with copious amounts of water.
Strong acids, drain cleaners, paint thinner, gasoline, and many other substances can induce chemical burns, which are tissue injury.For patients who have been exposed to a hazardous chemical or radioactive agent, decontamination is a top nursing priority. Before offering care to patients in a disaster, the nurse should help them completely decontaminate. Decontamination reduces exposure to other clients and personnel as well as further client injuries.If a shower is available, take off any contaminated clothing or jewelry and rinse the chemicals off for at least 20 minutes. Avoid getting chemicals in your eyes.Dress the burn. Apply a fresh bandage to the burn. On prevent applying pressure to the burned skin, wrap it loosely.Re-rinse if necessary. Rinse the area several more times if you experience more burning.learn more about chemical burns here: https://brainly.com/question/24720375
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A nurse is teaching a client who has genital herpes about self-management. Which of the following instructions should the nurse include in the teaching
Answer: The nurse should don clean gloves when caring for a client who has vancomycin-resistant enterococcus of the urine. This protects the nurse form coming in contact with bodily fluids contaminated with the bacteria of the client.
Explanation: ur welcome!! :)
Genital herpes is a sexually transmitted disease. It is caused by the herpes simplex virus. Nurse should wear gloves when comes in contact with the patient and wash hands with soap and water carefully.
What is Herpes?Genital herpes is caused by the herpes simplex viruses. It is a common sexually transmitted disease (STD). There is no cure for this disease however, proper care can help the patients to live longer.
While treating a herpes patient, the nurse should wear gloves so that she does not come in contact with the patient's body fluids. After treating the patient, nurse should wash her hands carefully with soap and water.
Prevention of Herpes include abstaining from sexual contact, however there is no way to completely prevent this infection. Using condoms can help to reduce the chance of transmission, but condoms do not completely prevent the infection.
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The nurse is suctioning a client's tracheostomy using an open system. For which action should the nurse use the gloved, dominant hand
The action that the nurse should use globed dominant hand is when manipulating the suction catheter.
What is tracheostomy?Tracheostomy is defined as the medical procedure that involves the incision of the anterior part of the trachea through with a pipe is being passed thereby allowing the patient to breath.
The patient's that are in need of a tracheostomy are those patients that:
Finds it difficult to breathe normally after an injury or accident, andPatients that are suffering from severe muscle weakness.Medical conditions that make it necessary to use a breathing machine (ventilator) for an extended period.Medical conditions that block or narrow your airway, such as vocal cord paralysis or throat cancer.The dominant hand is the hand that is not always being used while carrying out a procedure.
During tracheostomy, manipulating the suction catheter should be done with the both hands therefore the nurse should use the gloves dominant hand too.
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What instruction should the nurse give a client who is diagnosed with fibrocystic changes of the breast
Every month, perform a breast self-exam (BSE). This is the instruction given by the nurse for diagnosed with fibrocystic changes of the breast.
What is breast self-exam?Breast self-examination is a screening technique used to try and find breast cancer early on. The woman herself examines and feels each breast to check for any potential lumps, deformities, or swelling.Right shoulder should be supported by a pillow, as should your right arm behind your head. Gently wrap your left hand's finger pads around your right breast, covering the entire breast and armpit region. Apply gentle, moderate, and hard pressure. Squeeze the nipple and feel for lumps and discharge.By feeling for lumps or other changes, a person can examine their own breasts. Self-examinations of the breasts can teach a person how they typically feel and appear and help them recognize when changes take place.Learn more about breast self-exam here:
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Mrs. hernandez has recently moved to a long-term care facility due to declining health. since her admission 7 weeks ago, the nursing assistant notes that she has not received any visitors and that she appears increasingly quiet and withdrawn. the nursing assistant recognizes that mrs. hernandez's declining mood may be a result of what unmet needs
Answer:
lack of social experience
Explanation:
When you get old you either forgot or re-tell your life , old people prefer when young people listen cause it makes them feel young again.
A nurse is caring for a client with type 1 diabetes who is being discharged home tomorrow. What is the best way to assess the client's ability to prepare and self-administer insulin
Observe the client drawing up and administering the insulin. s the best way to assess the client's ability to prepare and self-administer insulin.
Patients with type 1 diabetes typically start out with two daily injections of two distinct types of insulin and work their way up to three or four daily injections of various types of insulin. Their blood glucose levels determine the kind of insulin utilized. Studies have indicated that three or four insulin injections per day provide the best blood glucose control and can halt or delay the diabetic damage to the eyes, kidneys, and nerves.Pinch the skin and insert the needle 45 degrees apart.You might be able to inject 90 degrees up and down if your skin tissues are thicker.Incorporate the needle completely into the skin. keep the syringe in position for five seconds before removing.
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Betaxolol hydrochloride eye drops have been prescribed for a client with glaucoma. Which nursing action is most appropriate related to monitoring for side and adverse effects of this medication
Blood pressure monitoring is the most appropriate nursing action to monitor for side effects and adverse effects of this medicine when betaxolol hydrochloride eye drops are provided for a client with glaucoma.
What are Betaxolol hydrochloride eye drops?To treat elevated eye pressure brought on by open-angle glaucoma or a condition known as ocular hypertension, betaxolol eye drops may be administered alone or in combination with other medications.The drug in question is a beta-blocker.Only a prescription from your doctor is required to purchase this medication.Blood pressure monitoringThe medication's side effects and adverse reactions include hypotension, dizziness, nausea, diaphoresis, headache, lethargy, constipation, and diarrhea.Monitoring the blood pressure for hypotension and checking the pulse for strength, weakness, irregular heartbeat, and bradycardia are examples of nursing interventions.For more information about Betaxolol hydrochloride eye drops here
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A nurse is discussing decontamination with a newly licensed nurse. The nurse identifies understanding if the newly licensed nurse identifies which of the following agents as needing decontamination
The keys to decontamination which must be understood by the newly licensed nurse are
pre-sterilisation cleaning.disinfectioninspectionsterilisationstorageWhat is decontamination agents?Decontamination simply refers to the process of removing the contamination of infectious agents or other contaminants
So therefore, the keys to decontamination which must be understood by the newly licensed nurse are: pre-sterilisation, cleaning, disinfection, inspection, sterilisation and storage.
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Even though we all know that junk food is not healthy, it can be difficult to resist it, especially when we are busy. Do you think a person should never eat junk food? How might a person’s health be affected by the amount of junk food they eat? What is the relationship between nutrition and wellness?
It is not unhealthy for us to take junk food as we usually, frequently and most of the times need them especially when we are very busy at work or busy to prepare normal dietary food
However the quality of the food we eat determines how well and healthy we would be.
What are nutrition?Nutrition is simply means obtaining food substances
There are different types of nutrition
Heterotrophic nutritionAutotrophic nutritionExamples of junk foods include the following
BiscuitsSnacksChocolatesSweetsSo therefore, it is not unhealthy for us to take junk food as we usually, frequently and most of the times need them especially when we are very busy at work or busy to prepare normal dietary food but at the same time we should always find time to take mucj more healthy and nutritional food
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A client has been taking a selective serotonin reuptake inhibitor (SSRI) for the treatment of depression. Which represents the action of the medication
SSRIs that prevent serotonin from being reabsorbed and represent the action of the medication.
Selective serotonin reuptake inhibitors (SSRIs):The most often prescribed antidepressants are selective serotonin reuptake inhibitors (SSRIs). They have the ability to lessen the symptoms of moderate to severe depression, are generally safe, and have fewer adverse effects. By raising serotonin levels in the brain, SSRIs alleviate depression. One of the chemical messengers, or neurotransmitters, that communicate between brain nerve cells is serotonin (neurons).
Serotonin reabsorption (reuptake) into neurons is inhibited by SSRIs. As a result, there is more serotonin accessible, which enhances neural communication. Because they primarily impact serotonin and not other neurotransmitters, SSRIs are referred to as selective. In addition to treating depression, SSRIs can also be used to treat anxiety disorders.
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A nurse is monitoring a client who has Graves' disease for the development of thyroid storm. The nurse should report which of the following findings to the provider
The nurse should report hypertension to the provider about the client who has grave's disease.
what is Grave's disease ?
An autoimmune condition called Graves' disease can lead in hyperthyroidism, or an overactive thyroid. The thyroid is a tiny gland at front of your throat that resemble a butterfly.
what causes grave's disease ?
An autoimmune disorder called Graves' disease arises when your immune system erroneously attacking your thyroid, which makes it hyperactive. Even though there is no known cause for Graves' disease, it mostly affects young to middle-aged women and commonly runs in families. Additionally, smoking can make a person more likely to acquire it.
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Which nursing action can the nurse delegate to unlicensed assistive personnel (UAP) who are working in a clinic where clients have diabetes
Measure the ankle-brachial index is the nursing action that can be used by the nurse delegate to unlicensed assistive personnel (UAP) who are working in a clinic where clients have diabetes.
With diabetes, your frame doesn't make sufficient insulin or can't use it as properly as it needs to. Diabetes is a persistent (lengthy-lasting) fitness situation that affects how your body turns food into energy. Your body breaks down most of the meals you devour into sugar (glucose) and releases it into your bloodstream.
In keeping with the latest research, type 2 diabetes can not be cured, but people will have glucose ranges that go back to the non-diabetes range, (complete remission) or pre-diabetes glucose stage (partial remission) The primary manner through which people with type 2 diabetes gain remission is by means of losing enormous quantities.
The strain doesn't reason diabetes but it can have an effect on your blood sugar levels and how you appear after your circumstance. Having diabetes to manipulate the pinnacle of existence's ordinary USA and downs can itself be a reason of pressure. It's no longer usually smooth to stay with and this could additionally feel more difficult whilst many human beings don't apprehend it.
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Which action will the nurse take when a patient receiving morphine sulfate via PCA (Patient controlled Analgesia) has a shallow, irregular respiratory rate of 6/min
Notify the medical professional and get ready to give naloxone (Narcan).
The Food and Drug Administration (FDA) has approved the drug naloxone for use in treating opioid overdoses. In order to stop the effects of opiates on the brain and to restore respiration, naloxone is used.
What is PCA (Patient controlled Analgesia) ?You can choose when to receive a dose of pain medication using patient-controlled analgesia (PCA), a method of pain treatment
After surgery, PCA can be used in hospitals to reduce pain. Or it can be applied to excruciating illnesses like sickle cell disease or pancreatitis.Hospice patients or cancer patients experiencing moderate to severe pain can also utilise PCA at home.Learn more about PCA (Patient controlled Analgesia) here:
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The form of malnutrition in which children are of an appropriate height for their age but thinner than they should be is termed
Wasted
Low weight-for-height is known as wasting. It usually indicates recent and severe weight loss, because a person has not had enough food to eat and/or they have had an infectious disease, such as diarrhoea, which has caused them to lose weight.
What is Malnutrition ?Malnutrition is a serious condition that happens when your diet does not contain the right amount of nutrients
Low weight-for-height is known as wastingLow height-for-age is known as stunting.Children with low weight-for-age are known as underweightOverweight and obesity is when a person is too heavy for his or her height.Learn more about Malnutrition here:
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7. Curt is a patient who presents with a signed authorization to release his medical information to another clinic for continuing care.
You are the Release of Information clerk at Rasmussen Clinic. Will you limit the information provided because of the minimum necessary rule? Why or why not? Provide justification for your decision.
Professionally and truthfully, there shouldn't be any limitation whatsoever of what medical information, I would be providing for Curt in his interest to move to another clinic
So in the light of this, I won't limit the medical information I would be giving to Curt
What are health informations?Health information can simply be defined as those personal information about patient's health condition
However, these information includes information about the patient's health condition or illness or injury or any disability
So therefore, professionally and truthfully, there shouldn't be any limitation whatsoever of what I would be providing for Curt in his interest to move to another clinic.
Therefore, I as the Release of Information clerk at Rasmussen Clinic will not limit the information provided.
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Pictured below are several congenital heart defects. Use the provided items to correctly label the images. Drag and drop the labels on the right to the appropriate image. Labels may be used once, more than once, or not at all.
Answer:
No
Explanation:
I did not see any image or picture below .
How do you respond to a health care workers statement that sharp injuries are only caused by needle stick injuries
I will explain to the health care worker that it could also be caused by other sharp medical equipment.
What are sharp injuries?The term sharp injuries refers to any kind of injury that is caused by a needle, a blade or any other kind of medical instrument which has the ability to enter into the skin. This is common in the hospitals.
If a health worker says that sharp injuries are only caused by needle stick injuries, I will explain to the health care worker that it could also be caused by other sharp medical equipment.
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Which employee of a health-care organization would likely be considered a middle-level manager?
A. The hospital's nursing supervisor.
B. An experienced primary care nurse who mentors other nurses.
C. The team leader of the hospital's wound care specialists.
D. The charge nurse who oversees day shifts on a medical unit.
A) The hospital's nursing supervisor of a health-care organization would likely be considered a middle-level manager.
With their oversight of patient-care operations, assignment and supervision of staff nurses, and identification and implementation of quality improvements, nursing supervisors serve as a vital connection between hospital management and clinical care.Clinical experience, leadership, communication and cooperation skills, as well as emotional intelligence, are qualities that an effective nurse manager must have to satisfy the demands of the position. These traits build stronger teams, which leads to better nursing care on the floor.All nurse managers supervise, however not all supervisors are in charge of running individual units. The people who used to be known as "head nurses" who were in charge of managing a floor over three shifts are now frequently referred to as "nurse managers."learn more about nursing supervisor here: https://brainly.com/question/23942174
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After checking the urinary drainage system for kinks in the tubing, the nurse determines that a client who has returned from the post-anesthesia care has a dark, concentrated urinary output of 54 ml for the last 2 hours. What priority nursing action should be implemented
The priority nursing action that should be implemented after checking the urinary drainage system for kinks in the tubing with a dark, concentrated urinary output of 54 ml for the last 2 hours is to report the findings to the surgeon.
When a patient is critically unwell, fluid resuscitation is sometimes guided by the amount of urine produced as a measure of acute renal impairment. In critically ill patients, neurohormonal variables and functional alterations may affect diuresis and natriuresis even though a decrease in urine production may be linked to a drop in glomerular filtration rate due to a reduction in renal blood flow or renal perfusion pressure. After examining the urinary drainage system for tube kinks with 54 ml of black, concentrated urine produced over the previous two hours, the main nursing step is to inform the surgeon of the results.
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Emphysema, chronic bronchitis, and related lung diseases are all grouped under the broad term of:
Emphysema, chronic bronchitis and related lung diseases are all grouped under Chronic Obstructive Pulmonary Disease (COPD).
What is COPD?COPD refers to a group of diseases that block the airflow and cause breathing-related problems. It is a term for a range of lung diseases like emphysema and chronic bronchitis.These diseases progress gradually, making it harder to breathe over time.Main cause of COPD is smoking.Lung diseases cannot be reversed but can be managed by lifestyle changes.Chronic bronchitis irritates your bronchial tubes, which carry air to and from your lungs.Emphysema is the breakdown of the walls of the tiny air sacs (alveoli) at the end of the bronchial tubes, in the bottom of your lung.Learn more about COPD here:
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