Elderly group should be assessed for pharmacokinetic changes across lifespan.
What are pharmacokinetic changes in elderly?Reduced homeostatic ability is one of the hallmarks of aging, which also causes structural and functional changes in all organ systems. Even while a given system's functionality might be preserved while it is at rest, the loss of functional reserve is what makes us more susceptible to stress. An increase in the volume of lipid-soluble drug distribution and a decrease in the clearance of lipid- and water-soluble medications are both caused by changes in body composition, hepatic and renal function, respectively.
A longer plasma elimination half-life is the result of all these modifications.
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What is dexamethasone sodium phosphate ophthalmic solution used for?
how long after wisdom teeth removal can i use a straw
the drugs are used as a first line treatment of heart failure. they work by allowing more blood to flow to the heart. which decreases the workload of the heart and allows the kidneys to secrete sodium. some patients can develop a cough this description describes
This description describes a class of drugs called angiotensin converting enzyme inhibitors (ACE inhibitors) which are used as a first line treatment of heart failure.
Explain about first line treatment of heart failure:These drugs work by inhibiting the activity of an enzyme called angiotensin converting enzyme (ACE), which is responsible for the production of a hormone called angiotensin II. Angiotensin II causes the blood vessels to constrict, which increases the workload on the heart. By inhibiting the activity of ACE, ACE inhibitors decrease the production of angiotensin II, which causes the blood vessels to dilate, allowing more blood to flow to the heart.They work by blocking the action of a hormone called angiotensin II, which causes the blood vessels to constrict, increasing the workload on the heart. This increases the blood flow to the heart and decreases the workload of the heart, allowing the kidneys to secrete sodium, which helps to reduce the volume of fluid in the body. This decreases the workload of the heart, which improves its function. Additionally, ACE inhibitors also cause the kidneys to secrete more sodium, which helps to reduce the volume of fluid in the body. However, in some patients ACE inhibitors can cause a cough as a side effect.To learn more about heart failure treatment refer to:
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which instruction might the nurse give to nursing assistive personal (nap) that is applicable only to tympanic temperature assessment?
Only for tympanic temperature assessment, the nurse may instruct nursing assistant personnel (nap) to leave the probe in place until the reading is complete.
What is nursing?A career in nursing focuses on providing care to individuals, families, and communities in order for them to achieve, maintain, or regain optimal health and quality of life. Nursing includes providing independent and team-based care to people of all ages, families, groups, and communities, whether they are ill or not and regardless of the setting. Health promotion, disease prevention, and the care of the ill, disabled, and dying are all included in nursing. A nurse's main responsibility is to take care of patients by attending to their physical needs, avoiding illness, and treating medical conditions. Nurses must observe and monitor the patient while documenting any pertinent data to support treatment decision-making.
Here,
The nurse may direct nursing assistant staff (nap) to leave the probe in place until the reading is finished only for tympanic temperature assessment.
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a 40- year old severely obese female patient with type 2 diabetes wants to lose weight. after learning about the surgical procedures, she thinks a combination of restrictive and malabsorptive surgery would be best. which procedure should the nurse teach her about
After learning about the surgical procedures, she thinks a combination of restrictive and malabsorptive surgery would be best and procedure that the nurse should teach her about : Roux-en-Y gastric bypass.
What is meant by Roux-en-Y gastric bypass?Roux-en-Y gastric bypass is also called gastric bypass. It is a type of weight-loss surgery that involves creating small pouch from stomach and connecting newly created pouch directly to the small intestine.
This surgery reduces size of the upper stomach to small pouch about the size of an egg. The surgeon does this by stapling off the upper section of the stomach and this reduces the amount of food you eat. The surgeon then attaches pouch directly to part of the small intestine called Roux limb.
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a type of musculoskeletal injury is a(n) . select one: a. orthotic b. laminectomy c. spur d. sprain
Answer: D. Sprain
Explanation: Any injury that affects the bones, muscles, ligaments, nerves, or tendons resulting in pain are considered musculoskeletal injuries.
a client has burns to his anterior trunk and left arm. using the rule of the nines, what is the tbsa burned?
The TBSA would be 27%. 18% for the anterior trunk and 9% for the left arm.
What is Rule of nine in burn ?The rule of nines might help you estimate how much of your entire body's surface area a burn will occupy. This influences therapies according to the extent and severity of the burn injury. One group of medical professionals who frequently apply the rule of nines is emergency medical responders.
Each arm and hand has a front and back surface area that makes up 9% of the body. The surface area of the body is made up of 9% for the chest and 9% for the stomach. 9% of the surface area of the body is made up of the upper back, and 9% is made up of the lower back. Each leg and foot takes up the front and back of 18% of the body's surface area.
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which type of dressing is provided to the patietn that develoepd a deep pressure injury that has the presence of exudates
Hydrogel dressing is provided to the patient that developed a deep pressure injury that has the presence of exudates.
What is hydrogel dressing? For wound dressings, hydrogel dressings are excellent in many ways. By encouraging the clearance of diseased or necrotic tissue by autolysis when applied to dry wounds, as well as sloughing or necrotic wounds, they can make and maintain them clean. Hydrogel bandages help to keep the wound warm, wet, and compact.Dressings made of hydrophyllic polymers with a high water content (90%) and a semi-occlusive structure are known as hydrogels. As their name suggests, hydrogels help in autolytic debridement and are intended to hydrate wounds and eschar.Full-thickness burns and wounds with moderate to heavy oozing are the only two types of wounds for which a hydrogel dressing is not recommended.For more information on hydrogel dressing kindly visit to
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a metal covering attached to a tooth to restore one or more of its surfaces
Answer:
Explanation:
it is a filling. i think
Q
A nurse is providing instruction to a client who has a new prescription for cimetidine 150 mg PO every 12 hr. Available is 300 mg/5 ml. How
many tsp should the nurse instruct the client to take per dose? (Round the answer to the nearest tenth.)
Answer:
The nurse should instruct the client to take 1 teaspoon (tsp) of the cimetidine per dose. This is because 1 teaspoon of the 300 mg/5 ml solution contains 60 mg of cimetidine, which is close to the prescribed dose of 150 mg per dose. Therefore, the nurse should instruct the client to take 1 teaspoon of the cimetidine per dose, which is equivalent to a dose of 150 mg.
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those who are ill should see a specialist before visiting their primary care physician.T/F
Answer: it's true not even false
a result of this federal mandate brought increased transparency and better efficiency, and empowered patients to utilize the electronic health record of their physician to view their own medical records. this mandate is called
The electronic fellow of a case's paper map. EHRs are patient- centered, real- time records that securely and instantly make information accessible to authorised medicines.
An EHR system is designed to go beyond the typical clinical data collected in a provider's office and can be inclusive of a broader view of a case's care, indeed though it does contain the medical and treatment histories of cases. An essential element of health IT, EHRs can contain a case's medical history, judgments , conventions, treatment schedules, dates of vaccinations, radiology images, and results of lab and test work. Give professionals access to substantiation- grounded instruments so they may decide how to treat cases. Automate and ameliorate the workflow for providers. One of an EHR's important characteristic is that it is advanced way to keep records.
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an elderly client is brought to the emergency department via ambulance after sustaining a fall. an x-ray indicates that the client sustained a femoral neck fracture. the nurse is collecting data from the client and knows that which disease processes increase the older adult's risk for hip fractures? select all that apply.
The nurse is collecting data from the client and knows that Shortening, adduction, and external rotation processes increase the older adult's risk for hip fractures.
A femoral fracture is a fracture of the femur bone. Due to the huge amount of force required to shatter the bone, they are often received in high-impact trauma, such as vehicle accidents. Fractures of the diaphysis, or middle of the femur, are treated differently than those of the head, neck, and trochanter, which are commonly referred to as hip fractures (because they involve the hip joint region). Thus, in medicine, femoral fractures are commonly implied to refer to femoral fractures at the shaft or distally.
Because femoral fractures are frequently produced by high-energy trauma, fractures are frequently visible. Swelling, deformity, and leg shortening are all symptoms of a fracture. Soft-tissue injuries, hemorrhage, and shock are all prevalent. The most clinical manifestation is acute discomfort that restricts leg mobility.
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when tasks are delegated by the registered nurse (rn) to the unlicensed nursing personnel (unp), which health care team member assumes responsibilities when the rn goes fora break?
The member of the health team who is responsible when the RN goes to rest is the charge nurse.
Registered nurses (RN) are health care professionals who have been licensed by the state to provide and coordinate patient care after receiving special education and passing comprehensive national examinations. The RN role is to provide health care to individuals, families, and communities. They provide services designed to promote health, prevent disease, and achieve optimal recovery from or adaptation to health problems.
The term UNP incorporates a variety of workers, such as nursing assistants, orderlies, nursing associates, and patient care assistants. This role, as the word assistive conveys, assists registered nurses who are responsible for care.
What types of tasks delegated to UNP are simple routine tasks such as clearing up empty beds, supervising patient ambulation, helping with cleaning, and feeding can be delegated.
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A nurse is caring for a client who is prescribed lithium. Which of the following clinical findings should be immediately reported to the provider?
Slurred speech should be immediately reported to the provider while a nurse is caring for a client who is prescribed lithium.
Dysarthria, also known as Slurred speech happens when the speaking muscles you utilize are weak or difficult for you to control. It might be challenging to understand speech that is slurred or sluggish due to dysarthria. Disorders of the neurological system, diseases that paralyze facial muscles, and illnesses that cause weakness in the tongue or throat muscles are common causes of dysarthria. Dysarthria is another side effect of several drugs.
Lithium prescription rates have been declining recently, despite the drug being almost universally recognized as the gold standard for treating bipolar disorder. Symptoms of minor lithium poisoning include weakness, worsening tremor, mild ataxia, impaired focus, and diarrhea. Vomiting, a noticeable tremor, slurred speech, confusion, and drowsiness appear as the toxicity increases.
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The complete question is:
A nurse is caring for a client who is prescribed lithium. Which of the following clinical findings should be immediately reported to the provider?
1) Slurred speech
2) Cardiac attack
3) Deafness
4) Leukemia
what is set up in the practice management program when a patient's chief complaint is different than the one for a previous encounter?
The practice management program should create a new encounter with the updated chief complaint and any other relevant information. The previous encounters should remain in the patient's record.
What is needed when describing a patient's chief complaint?
When describing a patient's chief complaint, it is important to provide specific details about the symptoms the patient is experiencing, how long the patient has been experiencing these symptoms, and any other relevant information.It is also important to note the patient's current level of distress and any specific activities that aggravate or alleviate the symptoms. Additionally, it is important to note any other pertinent medical history, such as past medical conditions, current medications, and any other pertinent information.Finally, it is important to note the patient's social history, such as lifestyle factors, stressors, and any other factors that may be relevant to the patient's current condition.This information is necessary to provide a complete picture of the patient's condition and to help accurately diagnose and treat the patient's condition.To learn more about patients refer :
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what do we call head injuries that don’t cause full-on concussions but can still cause damage, especially if someone experiences many of these injuries?
This kind of injury is called a diffuse axonal injury or sheer injury
In brief:In case of sheer injury, brain doesn't cause bleeding but brain cells get damaged which leads of malfunctioning of brain. It can also result in swelling, causing more damage.
What is diffuse axonal injury ?It is the tearing of the brain's long connecting axons on an injury as it shifts and rotates inside the bony skull.
What is the brain?The brain is the functional centre of the human body and is seat of intelligence, senses, initiator of body movement, and controller of behavior.
What are the brain cells?There are 4 types of brain cells:
Neurons or nerve cells associated to the brain, Microglia, Astrocytes and Oligodendrocytes.
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which statement about preparedness after the community health care provider explains the | disaster plan schedule would the registered nurse have concerns about?
The registered nurse would be concerned about the disaster plan schedule if it stated, "We should improvise the plan structure for tackling the risks associated with the disaster."
Why is good health so crucial to life?A healthy lifestyle can aid in preventing chronic conditions and debilitating illnesses. Your self-esteem and self-image depend on how you feel about yourself and how well you're doing physically. By taking care of your body, you may maintain a healthy lifestyle.
Why is health important to success?With sufficient sleep, a healthy diet, and regular exercise, you may increase the riches that is your health. You'll be rewarded with more vigor, sharper focus, increased self-control, and higher levels of productivity—everything you need to realize the aspirations and objectives you've set for yourself.
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a mother of three brings her children in for their vaccinations, and tells the nurse that her mom recently died and her husband just lost his job due to his company downsizing. which parenting behaviors is the nurse likely to observe? select all that apply.
The concept given is Stress. It is a kind of change that causes physical, emotional or psychological strain or damage to oneself.
A mother rarely looks at her baby while the nurse is examining him. The mother is very frustrated and tells the nurse that she cannot handle her baby's tantrums. If a family is experiencing excessive stress, the caregiver may be able to determine stress levels by observing parent-child interactions during the follow-up visit.
A nurse can learn a lot about family dynamics by monitoring the family for behavioral cues. Poor eye contact and lack of caring for the child are indicators of family stress, as are effective parenting techniques for behaviors such as tantrums.
Everyone experiences stress to some degree. However, the way you respond to stress has a major impact on your overall well-being.
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susan performs a breast self-exam each month. which change might warrant a trip to a doctor for further testing?
Susan performs a breast self-exam each month. the change might warrant a trip to a doctor for further testing is the feeling of irregularities on the surface of the breast.
What do you mean by breast self-exam ?By feeling for lumps or other changes, a person may examine their own breasts. Self-examinations of the breasts can teach a person how they typically feel and appear and help them to recognize when changes take place and how to care about those changes.
Look for skin that is dimpling, puckering, or bulging. Is there any swelling, rash, or redness? Examine the same changes when you raise your arms above your head. Check both nipples for any indications of fluid leakage while keeping your arms overhead.
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a client weighs 110 lb. the provider orders a heparin sodium iv bolus of 80 units/kg and a starting dose at 18 units/kg/hour. available is 25,000 units of heparin in 1000 ml of d5w. what is the heparin bolus dosage?
97.6 mL is the heparin bolus dosage.
Intravenous heparin treatment is frequently used in patients with a transient ischemic attack (TIA) or stroke as bridging therapy for warfarin anticoagulation, or as main therapy in patients with suspected cerebral artery dissection, crescendo TIAs, or suspected hypercoagulable conditions.
Heparin injection is a blood thinner. It is used to reduce blood clotting and assist prevent dangerous clots from developing in blood arteries. This medication is commonly referred to as a blood thinner, despite the fact that it does not really thin the blood. Heparin belongs to the family of drugs known as anticoagulants (sometimes known as "blood thinners"). It works by reducing the blood's clotting capacity.
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a nurse is caring for a client with metastatic breast cancer who is extremely lethargic and very slow to respond to stimuli. the laboratory report indicates a serum calcium level of 12.0 mg/dl, a serum potassium level of 3.9 meq/l, a serum chloride level of 101 meq/l, and a serum sodium level of 140 meq/l. based on this information, the nurse determines that the client's symptoms are most likely associated with which electrolyte imbalance?
The nurse determines that the client's symptoms are most likely associated with Hypercalcemia.
What is Hypercalcemia ?When the amount of calcium in your blood is higher than usual, it's called hypercalcemia. It can be treated with surgery and/or medicine and is typically brought on by primary hyperparathyroidism or certain malignancies.
9 to 11 mg/dl is the reference range for normal blood calcium levels. Clear signs of hypercalcemia include a blood calcium level of 12 mg/dl. Since the client's other laboratory results are within normal ranges, hypernatremia, hypochloremia, and hypokalemia are not present.
Overactive parathyroid glands are typically the cause of hypercalcemia. In the neck, close to the thyroid gland, are these four small glands. Other factors that contribute to hypercalcemia include cancer, a few other diseases, some drugs, and consuming excessive amounts of calcium and vitamin D supplements.
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when evaluating the lower extremity muscle strength of a patient, the physical therapist positions the patient prone with the knee flexed. the therapist asks the patient to point the toes upward toward the ceiling. the patient completes the motion, but inverts the foot slightly. this observation indicates:
The patient completes the motion, but inverts the foot slightly. This observation points to tibialis posterior replacement.
It is critical to keep the idea of function in mind when analyzing the musculoskeletal system. Beginning with both the initial presentation to the patient, take note of any obvious irregularities in mechanical function. Continue to keep an eye out for similar issues during the interview and test. It is sufficient to inspect the extremities as well as trunk for observable abnormalities or to ask the patient to perform a full active range of motion for each joint or set of joints on a screening examination of either a patient with no musculoskeletal complaints and no gross abnormalities have already been noted with in interview and general physical examination.
If the patient has musculoskeletal symptoms or any anomaly has been noticed, a complete musculoskeletal examination is required, not only to identify the degree of large abnormalities but also to search attentively for subtle irregularities. Use the standard techniques for inspection, palpation, & manipulation to examine the muscles, bones, and joints. Begin by categorising the musculoskeletal system into functional components. The examiner will determine an order of approach with practise, but for the beginner, it is best to start distally with the upper extremities and progress proximally via the shoulder.
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a registered nurse (rn) is explaining the effects of exercise on the cardiovascular system to a newly hired nurse. which statement by the newly hired nurse indicates effective teaching?
The statement by the newly hired nurse that indicates effective teaching is exercise prevents thrombus formation.
The newly instructed or newly hired nurse would be taught about thrombus formation in the cardiovascular system that can be prevented by exercises. Exercise also increases the muscles' ability to remove oxygen from the blood, which lessens the demand for the heart to pump blood to the muscles, reduces stress chemicals, which may cause the heart to work harder. Reduces blood pressure and slows the heart rate similarly to a beta blocker.
As the heart rate rises, the blood's delivery of oxygen to the working muscles and its return of carbon dioxide to the lungs both happen more quickly. You have more effective cardiac pumping. Better lung function. Your blood supply and volume are enhanced. Your heart rate during rest is decreased.
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Clearing intersections
Scan ahead look left right and then left again check mirrors
Why- keeps you alive at intersections
When stopped in traffic
Keep one car length between my front bumper and car ahead of me
Why-to have an escape route
Count 1-2-3 after car ahead begins moving
Establishes a space cushion and my eyes to be up
Why- keeps you away from billboards
4 to 6 seconds of following time for speeds up to 30 6 to 8 seconds for speeds over 30
Allows me not to fix it on vehicle ahead and creates my following distance
Why- buys time
8 to 12 seconds of eye lead time
The distance at which my eyes are to maintain.. keeps eyes ahead of wheels
Why- center's car and traffic
Scan steering wheels
To see if vehicle is occupied and to make adjustments if it is
Why- take path of least resistance
Stale green lights
A light I did not see change so I need to establish a point of decision
Why-smooth stops and turns
Eye contact
Communicate in traffic with horn lights and signals
Why- establishes eye to eye contact
Pulling away from curb
Check left mirror look over left shoulder turn on left signal check left shoulder again
Why- communicate in traffic horn lights and signals
Use of mirrors and gauges
Roll up thumb check each mirror every five to eight seconds
Why- keeps eyes ahead of vehicle
Clearing intersections is a safety procedure used by emergency vehicles, such as ambulances and fire trucks, to safely navigate through intersections while responding to an emergency call.
Clearing intersections involves the emergency vehicle using its lights and sirens to signal to other drivers that they should yield the right-of-way and allow the emergency vehicle to pass through the intersection. This is done to minimize the risk of collisions and ensure that the emergency vehicle can reach its destination as quickly and safely as possible. Drivers should always pull over to the side of the road and come to a complete stop when they hear the sirens of an emergency vehicle approaching an intersection.
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cdc finally releases vaers safety monitoring analyses for covid vaccines
CDC releases VAERS safety monitoring analyses for Covid-19 vaccines. This includes generating tables summarizing automated data from fields on VAERS form for persons who received COVID-19 vaccines
What is VAERS?The U.S. Food and Drug Administration's early warning system for the country, known as VAERS, keeps track on the safety of vaccines once they have been given the go-ahead (FDA). VAERS is a component of the wider US vaccine safety system that assists in ensuring the security of vaccinations. The CDC and FDA are in charge of the system.
VAERS accepts and evaluates complaints of potential health issues following immunization. VAERS is an early warning system; it cannot establish a link between a condition and a vaccine.
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by which study are findings that represent distinct disease processes identified to help with diagnosis
Epidemiology is the scientific, methodical, data-driven study of the frequency, pattern, and determinants of health-related states and events (not just diseases) in particular populations (patient is community, individuals viewed collectively), as well as the application of this study to the management of health issues (since epidemiology is a discipline within public health).
What is Epidemiology?The study and analysis of the distribution, patterns, and causes of health and disease conditions in a specific population is known as epidemiology. By identifying risk factors for disease and areas to focus on for preventive healthcare, it serves as the foundation for public health and influences policy choices and evidence-based practice. The technique of epidemiology is used to identify the root causes of diseases and other health issues in populations. In epidemiology, the population as a whole is regarded as the patient. The three main methods used in epidemiology are experimental, analytical, and descriptive. Even though all three can be used to look into the spread of disease, descriptive epidemiology is the approach that is most frequently applied.
Here,
Epidemiology is the scientific, methodical, data-driven study of the distribution (frequency, pattern), determinants (causes, risk factors), and outcomes of health-related states and events (not just diseases), in specific populations (patient is community, individuals viewed collectively), and the application of (since epidemiology is a discipline within public health) this study to the management of health issues.
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a patient/client and their family are motivated to learn about general communication strategies. after completing a needs assessment what should be recommended
Following the completion of a requirements analysis, the patient should be recommended a hearing aid.
Is it patience, or is it to be patient?There's potential for miscommunication here, so let's keep it straightforward: Being patient is possible since it is an adjective. Since patience is a noun, you are able to exercise patience. Being the embodiment of patience is possible yet difficult.
How would you define patience?You may handle losses better and take more pleasure in life if you have patience. The proverb "Good things come to individuals who wait" is true. Patience enables you to continue and make more wise choices, which frequently results in greater achievement.
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isadora was experiencing respiratory difficulties, so she made an appointment to see her physician, dr. patel. after acquiring her history and performing the physical examination, he ordered some ancillary tests. when the results came in, he reviewed all of the information and developed a list of possible diagnoses. what type of diagnosis did dr. patel prepare
Dr. Patel after acquiring history and performing physical examination, ordered some ancillary tests. When results came in, he reviewed the information and developed list of possible diagnoses. Type of diagnosis Dr. Patel prepared : differential diagnosis.
What is meant by differential diagnosis?Differential diagnosis occurs when your symptoms match more than one condition and additional tests are necessary before making any accurate diagnosis. Tests will narrow down the potential conditions on healthcare provider's differential diagnosis list.
In healthcare, differential diagnosis is a method of analysis of patient's history and physical examination to arrive at the right diagnosis. It involves distinguishing particular disease from others that are present with similar clinical features.
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the nurse is caring for a patient with extensive bullous lesions on the trunk and back. prior to initiating skin care, what is a priority for the nurse to do?
The patient being cared for by the nurse has severe bullous lesions on their back and trunk. What should the nurse prioritize before beginning skin care Do not use fragranced cosmetics.
What results in bully disorders?The immune system, which serves as the body's line of defense against infection, is what gives rise to bullous pemphigoid. It assaults and harms the skin instead of going after microorganisms. Why this occurs is unknown. It has occasionally been connected to skin injury (like sunburn) or taking specific medications.
Describe the bullous illness.A uncommon form of inflammatory skin illness called chronic pustular disease of infancy causes rings of blisters to form just on face or genitalia often. In autoimmune illnesses, antibodies attack your body's own cells rather than the outside invaders they usually seek out and eliminate, like viruses.
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