Angina pectoris is a clinical illness characterised by bouts of discomfort or pressure in the upper chest. When there is increased myocardial supply of oxygen in reaction to physical activity, resulting in a lower oxygen supply.
When a patient has angina, the nurse should urge them to halt all activities and sit or relax in bed in a semi-posture, Fowler's and then deliver nitroglycerin sublingually.
Reducing adherence/anxiety
Exploring the implications of the diagnosis for the angina patient, as well as offering knowledge about the illness, its therapy, and techniques for avoiding its development, are all critical nursing interventions.
Pain prevention
The nurse goes through the evaluation findings, determines the degree of activity that is causing the angina patient's discomfort, and then organises the patient's activities appropriately.
Oxygen requirement is decreasing. Balancing exercise and relaxation is an important part of the patient's and family's educational strategy. At the commencement of chest pain, oxygen treatment is frequently commenced in an attempt to increase the quantity of oxygen given to the myocardium and relieve discomfort.
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5. What kind of substances can't permeate membranes by
passive diffusion?
a) Lipid-soluble
b) Non-ionized substances
c) Hydrophobic substances
d) Hydrophilic substances
for each individual who comes to the emergency department seeking assistance, whether or not that person refused treatment, was refused treatment, admitted and treated, stabilized and transferred, or discharged, what is the hospital required to keep? a. the name of the patient refusing treatment b. diagnoses codes for the visit c. a central log d. the procedure done on the individual
Answer:
its a and b
Explanation:
the nurse provides instructions to a client newly diagnosed with type 1 diabetes mellitus. the nurse recognizes an accurate understanding of measures to prevent diabetic ketoacidosis when the client makes which statement?
The nurse came to understand accurately how to prevent diabetic ketoacidosis when the client said that he will notify his healthcare provider when the blood glucose level is higher than 250 mg/dL.
In the question, it is stated that the nurse is dealing with a client that is newly diagnosed with type 1 diabetes Mellitus. The nurse recognized the accurate measure to prevent diabetic ketoacidosis when the client made the statement of notifying his healthcare provider if the blood glucose level ever crosses or is higher than 250 mg/dL.
Diabetes Mellitus is a group of diseases that affects how the body uses sugar. It results in too much sugar in the blood.
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despite having been administered prescribed pain medication, a dying client is still experiencing dyspnea due to fear and anxiety. which nursing intervention should the nurse use to potentiate the effects of pain medication and help reduce the dyspnea?
If a nurse wants to enhance the effects of painkillers and lessen dyspnea, she should try progressive relaxation, imagery, and humor.
Which pain reliever is most frequently used?Acetaminophen. For mild to severe pain, such as that brought on by a headache, skin injury, or musculoskeletal disease, acetaminophen is typically prescribed as the first line of treatment. For the treatment of back pain and osteoarthritis, acetaminophen is frequently given.
What do drugs consist of?When used to cure, halt, and prevent disease, lessen symptoms, or assist in the diagnosis of illnesses, chemicals or other compounds are referred to as "medicines." Medical progress has made it possible to treat many diseases and save lives. Nowadays, medicines are made from a variety of sources.
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a client with heart failure is prescribed an angiotensin converting enzyme (ace) inhibitor. when teaching the client about this medication, the nurse would explain that this class of medications are effective because they:
As they are mainly used to treat cardiac disease, ACE inhibitors are beneficial in persons with heart failure.
These medications treat heart attacks, strokes, and excessive blood pressure. reduces the chance of having a heart attack or stroke.
Utilized to treat renal disease and diabetes as well. This will stop the deterioration of your kidneys. If you have any issues, discuss taking these drugs with your doctor.
Angiotensin-modifying enzyme, or ACE for short, is an enzyme whose activity may be decreased by ACE inhibitors. Hormones that regulate blood pressure contain enzymes.
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the nurse is caring for a client after a motor vehicle accident. when assessing a client for shock, the nurse assesses early signs of developing shock. what key assessment does the nurse anticipate in early shock?
Low blood pressure, slow capillary refill, tachycardia from blood loss, and overworked heart are all symptoms.
Is tachycardia reversible?Most of the time, tachycardia is innocuous and disappears completely on its own. However, you must go to the hospital if your rate won't stabilize. A myocardial infarction, stroke, or another cardiovascular condition can result from overworking your heart over an extended period of time.
Can someone with tachycardia live a long life?Unless you have damage to the heart or other heart issues, atrioventricular tachycardia (SVT) is typically not life-threatening. However, in rare circumstances, an SVT episode could result in cardiac arrest or coma .Sinus tachycardia can be brought on by vigorous exercise, a virus, fear, stress, and worry, as well as by some drugs and treatments.
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a client is admitted to the acute psychiatric care unit after 2 weeks of increasingly erratic behavior. the client is unkempt, has lost approximately 9 lb (4 kg), has been sleeping poorly, and exhibits hyperactivity. the client loudly denies the need for hospitalization. what priority intervention will the nurse apply?
The nurse prioritizes reducing ambient stimulation for the patient who has dropped around 9 lb (4 kg), has been having trouble sleeping and shows signs of hyperactivity.
Environmental stimuli were outlined as ambient, architecture, or interior design elements that only serve to stimulate and have the potential to have an impact on patients when psychological processes mediate their effects.
Environmental stimuli are events that take place in the environment that cause a person to respond or react. For instance, some people would put on a coat and sweater in response to a dip in temperature. A startled leap might be brought on by a deafening boom.
Groups of sensory neurons make up receptors. They notice a shift in the stimuli from the surroundings. As a result, the nervous system responds to the stimuli by producing an electrical impulse. Groups of receptors in sense organs react to particular stimuli.
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Answer:
decreasing environmental stimulation
Explanation:
an aids patient has developed thrush, a fungal infection in the mouth caused by the opportunistic pathogen candida albicans, a normal inhabitant of the skin, gastrointestinal tract, and urogenital tract. the infection developed because .
Candida albicans infection in AIDS patients has developed thrush, due to frequent use of antibiotics.
Candida fungus is also the main cause of esophagitis in people with AIDS. People with weakened body immunity develop diseases of a systemic nature caused by candida. The infection is spread through the blood vessels, entering from wounds on the skin.
AIDS sufferers will more often experience Candida yeast infection due to weak immunity. However, if candidiasis has occurred in the esophagus (the channel that connects the oral cavity with the stomach), as well as the lower respiratory tract (bronchi, trachea, and lungs), then the infection is already classified as an opportunistic infection.
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after dr. woldt's class on detecting and diagnosing meningitis, several interns inform him that they have experienced similar symptoms in recent times. the interns' belief that they have symptoms of meningitis represents a phenomenon known as
The interns' belief that they have symptoms of meningitis represents seroconversion phenomenon.
Meningitis is an inflammatory condition that affects the fluid and membranes (meninges) that surround your brain and spinal cord and it is also called as Meningococcal disease. Meningitis swelling often causes symptoms such as headache, fever, and stiff neck. The majority of cases of meningitis are caused by a viral infection, although additional causes include bacterial, parasitic, and fungal infections.
It is primarily a seroconversion phenomenon that affects up to all symptomatic seroconversion disorders. It is usually accompanied with symptoms, such as fever, lymphadenopathy, sore throat, or a rash. A tiny percentage of cases develop to chronic meningitis, which can be accompanied by cranial neuropathies or other localized symptoms.
Meningitis cases increased seasonally in response to large-scale atmospheric phenomenon linked with the Sahelian dry season. exceptionally dry but mild winter seasons and some sudden rainy season. As low humidity, dry winds, and high quantities of dust in the air harms upper respiratory tract mucosal barriers, allowing meningitis to occur. N. meningitidis can enter the bloodstream and the meninges more easily through damaged mucosal membrane.
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which of the following happens during inflammation? a. the capillaries supplying blood to the area become more leaky (i.e., permeable). b. prostaglandins deaden nerve endings, alleviating pain. c. neutrophils release histamine. d. all of the above
Option A, During inflammation, the capillaries supplying blood to the area become leakier.
If the sore is enlarged, red, and painful, inflammation may be present. Inflammation is, broadly speaking, the immune system's response to an irritant. Fragments of fingers and other foreign objects. B. Bacteria may be the cause of irritation.
Pathogens, such as bacteria, viruses, or fungi. Explicit wounds such as scratches or injury from foreign items effects of radiation or chemicals.
Acute inflammation is transient inflammation that occurs after injury or infection. In the affected area, it often manifests as redness, swelling, warmth, and pain.
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If a sample needs to be diluted, what should be added?
If a sample needs to be diluted it should be added solvent, the most common is usually water.
What is dilution?Dilution is a process in which solvent is added to lower the concentration of a solution. In this process the amount of solute does not vary because it is not altered, what will be altered is the amount of solvent in which it is going to be found.
What will happen as a result is that the volume of the solution will increase at the expense of the addition of the solvent.
Therefore, we can confirm that if a sample needs to be diluted it should be added solvent, the most common is usually water.
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the american cancer society suggests which of the following steps: select one: 1. stay out of the sun and avoid consumption of saturated fats 2. take time each day to pray 3. take one aspirin per day 4. balance your vitamin and mineral intake
The American cancer society suggests which of the following steps: 4. balance your vitamin and mineral intake
Minerals along with vitamins work to help boost the immune system. The application of the strength of the immune system to the possibility of producing long-term and long-lasting therapies is even expected in the future.
Living a healthy lifestyle and fulfilling nutritional and balanced nutrition are some of the best steps that cancer patients can take to support them in undergoing treatment. Fulfillment of nutrition during the therapy period aims to maintain ideal body weight and meet energy needs for the recovery and healing stages.
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the goal of adding folic acid to the food supply by enriching cereal grains was to: group of answer choices improve maternal nutrition prevent spina bifida reduce mortality from cardiovascular disease all of these prevent anencephaly
The goal of adding the folic acid to the food supply by enriching the cereal grain was to prevent the spina bifida and the anencephaly
The studies provide a solid scientific basis for the consensus that synthetic folic acid can prevent spina bifida and anencephaly.
Spina bifida occurs when a baby's spine and spinal cord do not develop properly while in the womb, causing a gap in the spine. Spina bifida is one of the types of neural tube defects. A structure that develops in the baby's brain and spinal cord is called a neural tube.
Anencephaly is one of the serious birth defects in which a baby will born without some parts of the brain and skull. It is also a form of neural tube defect (NTD).
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the nurse is caring for a client who is scheduled for electroconvulsive therapy. the nurse notes that an informed consent has not been obtained for the procedure. on review of the record, the nurse notes that the admission was an involuntary hospitalization. which is important information for the nurse to remember?
The nurse caring for a client who has scheduled electroconvulsive therapy for which there's no informed consent obtained, it is important for the nurse to get informed consent from the client.
In the question, it is stated that the nurse who is caring for a client has scheduled electroconvulsive therapy. The nurse gets to know that there is no informed consent for the procedure of the client and it was based on involuntary hospitalization. It is important for the nurse to obtain informed consent from the client.
Electroconvulsive therapy is a procedure that is conducted under general Anesthesia in which small currents are passed through the brain that leads to triggering brain seizure.
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How many mg of a medication are needed to make 1,500 mL of a 1:4000 w/v solution
Answer:
375 mg
Explanation:
conversions
the 1994 dietary supplement health and education act question 48 options: limited the definition of a dietary supplement to only essential nutrients. ensured that dietary supplements would be safe. set up strict regulations regarding the dose and constituents of dietary supplements. defined the substances that could be included in products called dietary supplements
In the 1994 dietary supplement health and education act they limited the definition of a dietary supplement to only essential nutrients.
The Dietary Supplement Health and Education Act of 1994 was enacted to ban dietary supplement makers and distributors from creating false claims, like "natural" and "therapeutic," on supplement labels. The law additionally prohibits the manufacture and sale of adulterate dietary supplements.
Dietary supplements are the substances you would possibly use to feature nutrients to your diet or to lower your risk of health issues like pathology or inflammatory disease. Dietary supplements are available in the shape of pills, capsules, powders, gel capsules and tablets, extracts, or liquids.
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an active 20-year-old man (recommended daily intake of 3,000 calories) and a sedentary 20-year-old woman (recommended daily intake of 2,000 calories) each consume 30 grams of free sugar in one day. did each meet the 2015 who guidelines on free sugar intake? (hint: 1 gram of sugar
According to the 2015-2020 Dietary Guidelines for Americans, 10% of daily calories should come from added sugars. For a 2,000 calorie diet, that amounts to about 12 teaspoons or 200 calories.
An energy unit is a calorie. Due to historical factors, the terms "calorie" and "energy" are used interchangeably. The original definition of the large calorie, meal calorie, or kilogramme calorie was the amount of heat required to raise the temperature of one kilogramme of water by one degree Celsius. Calories are the amount of energy your body expels after digesting and absorbing meals. A food's ability to give your body energy depends on how many calories it contains. If you consume more calories than you need, your body stores them as body fat. A food can have a lot of calories even if it is fat-free. The original definition of a calorie stated that it was the quantity of heat needed to raise the temperature of one gramme of water by one degree Celsius at a pressure of one standard atmosphere.
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a client who is a painter recently fractured a tibia and can't work. the client worries about finances. to treat the client's anxiety, the physician orders buspirone, 5 mg by mouth three times per day. which drugs interact with buspirone?
Monoamine oxidase (MAO) inhibitors interact with buspirone
What is Monoamine oxidase (MAO) inhibitors ?The neurotransmitters norepinephrine, serotonin, and dopamine are eliminated from the brain by a substance called monoamine oxidase. Because MAOIs stop this from happening, more of these brain chemicals are accessible to modify the cells and circuits affected by depression.
Serotonin, norepinephrine, and dopamine are the main neurotransmitters that are inhibited by MAO-A, and tyramine is metabolised by MAO-B when MAO-A is selectively inhibited.Combining MAOIs with drugs that block serotonin reuptake or amphetamines that release serotonin is not recommended because doing so increases the risk of developing the potentially lethal serotonin syndrome.Learn more about Monoamine oxidase (MAO) inhibitors here:
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the nurse who works on the night shift enters the medication room and finds a coworker with a tourniquet wrapped around the upper arm. the coworker is about to insert a needle, attached to a syringe containing a clear liquid, into the antecubital area. which is the most appropriate action by the nurse?
The coworker is about to insert a needle, attached to a syringe containing a clear liquid, into the antecubital area. Then Calling the nursing supervisor is the most appropriate action by the nurse.
A plunger that snugly fits inside a tube known as a barrel makes up a simple reciprocating pump known as a syringe. Through a discharge orifice at the front end of the tube, the syringe can take in and inject liquid or gas when the plunger is linearly pulled and pushed along the inside of the tube. Syringes are instruments used to inject drugs into the body or remove fluid. Hollow needles called "needles" are used to inject medications (drugs) under the skin. Syringes are instruments used to inject drugs into the body or remove fluid. Lancets, also referred to as "fingerstick" devices, are tools with a brief, two-edged blade used to draw blood for testing. The buttocks, thigh, upper arm, and hip are the ideal locations for intramuscular injections.
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Stem cells can be replicated or differentiated to produce other stem cells or different types of cells, respectively.
True or false?
Answer: The correct answer is True
Explanation:
Scientific evidence has proven that adult stems cells are capable of creating different types of cells (such as bone marrow stem cells replicating heart muscle). The totipotent stem cells can differentiate into cells of an entire organism and have the potential to even create entire embryonic structures. Under ideal conditions, stem cells are capable of making copies of themselves indefinitely.
the nurse instructs the client with gastroesophageal reflux disease (gerd) regarding dietary measures. which action by the client demonstrates that the client has understood the recommended dietary changes?
The client with gastroesophageal reflux disease (GERD) is given advice by the nurse regarding dietary restrictions, such as avoiding chocolate and coffee.
What exactly is GERD?
The disorder known as gastroesophageal reflux disease (GERD) is characterized by the backward leakage of stomach contents into the esophagus (food pipe). Eating moves down the esophagus from the mouth to the stomach. In addition to heartburn and other symptoms, GERD can irritate the food pipe.
If specific fruits, vegetables, beverages, or spicy meals make your symptoms worse, try to avoid them.
Therefore, Acid from the stomach rises into the esophagus over time, a condition known as gastroesophageal reflux disease (GERD).
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a patient sustained an open fracture of the femur 24 hours ago. while assessing the patient, the nurse observes the patient is having difficulty breathing, and oxygen saturation decreases to 88% from a previous 99%. what does the nurse understand is likely occurring with this patient?
The nurse understands that patient is likely occurring with Fat emboli. Since observing that Patient from 24 hours.
The systemic symptoms of fat emboli in the microcirculation give rise to the clinical condition known as Fat embolism syndrome (FES), which is poorly understood. A systemic inflammatory reaction brought on by embolized fat in capillary beds results in pulmonary, cutaneous, neurological, and retinal symptoms in addition to direct tissue injury. However, patients with numerous clinical situations, such as bone marrow transplant, pancreatitis, and after liposuction, may also have this. This is most frequently seen following orthopedic trauma. The diagnosis of FES is challenging due to the lack of clear diagnostic standards or procedures. Early surgical repair of long bone fractures reduces the risk of a patient developing Fat embolism syndrome (FES), even if the majority of FES treatment is supportive fat emboli.
While Fat embolism syndrome(FES) is the systemic outward manifestation of fat emboli within the microcirculation, fat embolism is the presence of fat particles within the microcirculation. Respiratory discomfort, altered mental status, and a rash are typical systemic symptoms.
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What If? (p. 38) A medical assistant has been making errors in documenting in patients' charts and is given a verbal warning. She is placed on a corrective action plan, which includes mandatory training on the proper method of documenting. The medical assistant does not comply with the corrective action plan, and, as a result, the employer fires her. 1. Did the employer take the correct steps in terminating the medical assistant? 2. Does the medical assistant have the right to fight the termination of employment based on due process? 3. What could the employer or the employee have done differently in this case?
The answers include the following:
The employer took the correct steps in terminating the medical assistant as part of the disciplinary measures of the organization.The medical assistant lacks the right to fight the termination of her employment because due process which involves verbal warning, correction action plan etc were observed.The employer couldn't have done anything differently as reassignment still involves documentation.Who is a Medical assistant?This is referred to as healthcare professionals whose role is to assist Doctors in their various roles. They supply the information gotten from the patient to the Doctors and assist with documentation processes.
In a scenario where there the medical assistant makes errors even after verbal warning and corrective action plan has been done , terminating him/her is the right thing to do and it can't be contested as the due processes were followed.
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the nurse is caring for a client with chest pain. what assessment data would cause the nurse to suspect unstable angina?
ST Modifies and Pain lasts 15 to 25 minutes, and both the frequency and severity of angina attacks have increased.
Is angina very serious?An indication is angina. When blood circulation to my heart is decreased, you may experience pain or an uneasy sensation. Although it's not harmful, it could indicate a cardiac condition like cardiovascular disease. Usually, you feel it in your chest.
Is angina heart attack?Different varieties of angina exist. The most typical type of angina is stable angina (angina pectoris), which is brought on by coronary artery disease. Your life quality can be enhanced by resting and taking medicine to treat your angina. A heart attack usually indicated by severe or unexpected angina, and quick medical attention is required.
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after a series of admissions to the emergency department over the past several months, an 80-year-old client's malnutrition, vague history, and pattern of physical injuries lead the nurse to suspect elder abuse. which aspect of the client's situation may contribute to elder abuse? select all that apply.
Physical dependency, no income or savings and client begin described as "needy, helpless, and pathetic" indicates elder abuse.
Elder abuse refers to the intentional or failure of act aiming at elder individuals. The elder in this case is defined as people aged 60 years or older. Being dependent on the caregiver for basic needs and day to day activities sometimes result in such types of acts.
Elders have to face different types of abuse such as psychological, sexual abuse, physical abuse, emotional abuse or neglect. The signs of elder abuse are depression, anxiety, isolated behaviour, unexplained injury signs, seem dirty, underfed etc.
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The complete question is -
After a series of admissions to the emergency department over the past several months, an 80-year-old client's malnutrition, vague history, and pattern of physical injuries lead the nurse to suspect elder abuse. which aspect of the client's situation may contribute to elder abuse? select all that apply.
a. The client is physically dependent on the client's son since losing mobility
b. The client has no income or savings of the client's own
c. The client's son describes the client as "needy, helpless and pathetic"
d. The client and client's child are recent immigrants to the United States
e. The client self-describes and describes the client's child as "not well off but not terribly poor either".
the nurse is teaching a prenatal class illustrating the steps that are used to keep families safe. the nurse determines the session is successful when the parents correctly choose which precaution to follow after the birth of their infant?
The precautionary measure for parents after the birth of their baby is to check the identification of each health worker before releasing the baby from the room.
Why do parents have to check the identity of the nurse after the baby is born?Baby abduction is a concern, and all personnel must wear identification and introduce themselves to parents before they enter the room or bring the baby. If her mother is suspicious, she has the right not to allow someone to take it away.
There may not always be family members around to accompany the baby and they may not be allowed into the treatment room or other such areas. Checking the name on the baby's identity bracelet will not stop the kidnapping. Providing a list of approved visitors can help prevent kidnappings from individuals outside medical facilities but won't stop someone posing as an employee from abducting babies.
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during the recovery period following strenuous exercise the body's need for oxygen is increased because
Recovery is the key to strength, and recovery depends on how much oxygen your body is taking in. To make up for the deficits caused by activity, oxygen is required.
What are the ways the body uses energy?By consuming the nutrients that produce energy, such as lipids, carbs, and proteins, you can obtain energy. Your basal metabolism, which requires the least amount of energy to keep your body functioning while at rest, consumes the majority of the total energy used by your body.
How much energy is there in a human body?The amount of energy consumed by the organism while performing all of its functions is known as the total metabolic rate. Kilojoules per day are a common unit of measurement. The following elements determine the overall metabolic rate: metabolism at rest
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per hhs, a hospital may satisfy their on-call coverage obligations through which one of the following? a. not offering on call coverage b. refusing treatment c. an approved community call/regional call program d. having a nurse do the coverage
Approved community which have call/regional call program( choice c is the correct answer). HHS has allowed medical institution to fulfill their on-name insurance responsibilities with the aid of using organizing an accredited network name/nearby name program.
Health and Human Services (HHS) to increase policies shielding the privateness and safety of positive fitness facts.1 To satisfy this requirement, HHS posted what are generally called the HIPAA Privacy Rule and the HIPAA Security Rule. The Privacy Rule, or Standards for Privacy of Individually Identifiable Health Information, establishes countrywide requirements for the safety of positive fitness facts. The Security Standards for the Protection of electronic protected health Information (the Security Rule) set up a countrywide set of safety requirements for shielding positive fitness facts that is held or transferred in digital form.
The Security Rule operationalizes the protections contained withinside the Privacy Rule with the aid of using addressing the technical and non-technical safeguards that corporations called "included entities" need to installed area to steady individuals' "digital covered fitness facts" (e-PHI). Within HHS, the Office for Civil Rights (OCR) has obligation for imposing the Privacy and Security Rules with voluntary compliance sports and civil cash penalties. HHS acknowledges that included entities variety from the smallest issuer to the largest, multi-country fitness plan. Therefore the Security Rule is bendy and scalable to permit included entities to research their very own desires and implement answers suitable for his or her unique environments. What is suitable for a selected included entity will rely upon the character of the included entity's business, in addition to the included entity's length and resources.
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a client is admitted to the facility after experiencing uncontrolled diarrhea for the past several days. the client is exhibiting signs of a fluid volume deficit. when reviewing the client's laboratory test results, which electrolyte imbalance would the nurse likely to find?
Answer:
i think hypokalemia
Explanation:
a community health nurse is planning a health promotion program related to asthma. what risk factor would the nurse identify as contributing to the high death rate associated with asthma among black clients?
Motor vehicle and farm accident prevention project and prenatal care outreach program contributing to the high death rate associated with asthma among black clients
What is asthma ?The lungs' airways are impacted by asthma, a chronic (long-lasting) disease. Your lungs receive and expel air through tubes called airways. When you have asthma, the airways occasionally get irritated and constrict. This makes it more difficult for air to exit your airways during exhalation.
Airborne allergens such pollen, dust mites, mould spores, pet dander, or cockroach excrement particles. respiratory illnesses, including the common cold. a workoutAccording to research, a person's economic situation has the biggest impact on their health status.Learn more about Asthma here:
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