A patient with poorly controlled diabetes over the last 5 years says to the nurse, "I always have numbness in my feet. What do you think would cause this?" What explanation should the nurse give?
- Depressed immune response
- Diabetic peripheral neuropathy
- Autonomic neuropathy
- Hyperosmolar hyperglycemic state (HHS)
Answers
The most likely explanation for the patient's numbness in their feet is B. diabetic peripheral neuropathy. Diabetes is a chronic condition characterized by high blood sugar levels over a prolonged period of time.
Over time, high blood sugar levels can damage the nerves in the body, leading to a condition known as diabetic neuropathy. Peripheral neuropathy is a type of diabetic neuropathy that affects the nerves of the feet and legs, and it is a common complication of poorly controlled diabetes.
The symptoms of diabetic peripheral neuropathy can include numbness, tingling, burning, or sharp pain in the feet and legs. Other symptoms may include weakness, muscle wasting, and difficulty walking. The condition can be progressive, and if left untreated, it can lead to complications such as foot ulcers and amputation.
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The nurse should inform the patient that the numbness in their feet could be a result of their poorly controlled diabetes over the last 5 years.
Specifically, it could be a result of a complication called hyperosmolar hyperglycemic state (HHS). HHS is a serious complication of diabetes that can occur when blood glucose levels remain high for extended periods, leading to dehydration and an increase in blood osmolality. This can lead to nerve damage and a loss of sensation in the feet, also known as peripheral neuropathy.
The nurse should explain to the patient that HHS requires immediate medical attention to prevent further complications and that proper management of their diabetes is essential to prevent future occurrences. The nurse should also encourage the patient to discuss any concerns or questions with their healthcare provider and work closely with them to develop a personalized plan for managing their diabetes and any related complications.
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Related Questions
A client was admitted to the hospital with a diagnosis of aortic regurgitation. on assessment, what positive indicators for the disease process will the nurse note? select all that apply.
Answers
What is aortic regurgitation?
Aortic regurgitation, also known as aortic valve regurgitation, is a problem that develops when the aortic valve in your heart doesn't seal completely. As a result, part of the blood that is pumped out of your left ventricle, your heart's primary pumping chamber, seeps backward.
Your heart may be unable to effectively pump blood to the rest of your body as a result of the leak. You can have exhaustion and shortness of breath as a result.
Aortic valve regurgitation may appear overnight or take years to manifest. Surgery is frequently required to repair or replace the aortic valve after aortic valve regurgitation has reached a severe stage.
Surgery to replace your aortic valve is the recommended course for treatment. During this procedure, your surgeon will remove the damaged valve and replace it with a mechanical valve, the valve from a pig or cow, or with human tissue. Over time, these tissues may need to be replaced.
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medical prescription: aminophylline 50 mg orally 8/8 hours. available: 5% aminophylline solution - 50ml bottles. how many ml should be given?
Answers
Answer:
To calculate how many mL of the 5% aminophylline solution should be given, we need to use the formula:
(amount of medication needed / concentration of medication available) x volume of medication available = volume of medication to be administered
Using this formula, we can calculate the volume of the aminophylline solution to be given as follows:
(amount of medication needed) = 50 mg (concentration of medication available) = 5% (volume of medication available) = 50 mL
First, we need to convert 50 mg to grams by dividing by 1000:
50 mg / 1000 = 0.05 g
Next, we need to calculate the amount of aminophylline solution required. We can do this by rearranging the formula as follows:
(volume of medication to be administered) = (amount of medication needed / concentration of medication available) x volume of medication available
(volume of medication to be administered) = (0.05 g / 0.05 g/mL) x 1 mL
(volume of medication to be administered) = 1 mL
Therefore, to administer 50 mg of aminophylline orally every 8 hours, 1 mL of the 5% aminophylline solution should be given.
Explanation:
Acategorical term for a word part that is added to a root word to change or modify its meaning is called a(n)
A word part added to the beginning of a word and that is often used to indicate location, time, or present status is
called an)
A word part that is added to the ending of a root word to form a new term is called the
A root word with an added vowel at the end that makes it easier to pronounce is called a
Answers
2) prefix
3) suffix
4)combing form
Where did AIDS/HIV originate? How did it move to humans?
Answers
HIV infection in humans was caused by a type of chimpanzees in Central Africa.
What is HIV/AIDS?HIV (Human Immunodeficiency Virus) is an immune-deficiency virus. (A person's immune system fights infections and diseases in the body.) HIV weakens a person's immune system over time, making it difficult to fight diseases. AIDS is caused by HIV (Acquired Immune Deficiency Syndrome).HIV, the virus that causes AIDS, had jumped from chimps to humans in Africa sometime in the early twentieth century. The earliest known case of HIV-1 infection in human blood is from a sample taken in 1959 from a man who died in Kinshasa, then in Belgian Congo.It can be passed from mother to child during pregnancy, childbirth, or breastfeeding, or through sexual contact, illicit injection drug use or needle sharing, contact with infected blood, or from mother to child during pregnancy, childbirth, or breastfeeding.To learn more about HIV refer to :
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How much cation is people
Answers
Answer: 4
Explanation:
iron atoms can form 2+ cations or 3+ cations.
Lyme disease is acquired most frequently during the late spring and early summer because that is the time of the year when: Answers A-E A Most deer tick nymphs are feeding B The bacteria produce temperature inducible anticoagulation substances which enhance their ability to be infective. C Most deer ticks leave their host to lay their eggs D it is warm enough for the adult deer ticks to leave their host and survive E The ambient temperature is high enough for the bacteria to survive
Answers
Lyme disease is acquired most frequently during late spring and early summer because it is the time when most deer tick nymphs are feeding and the ambient temperature is high enough for the bacteria to survive.
Lyme disease is primarily transmitted through the bite of infected black-legged ticks, also known as deer ticks. These ticks have a two-year life cycle, during which they go through different stages: larva, nymph, and adult. The nymph stage, which is the second stage, is the most common culprit for transmitting Lyme disease to humans. Nymphs are tiny and difficult to spot, but they are highly active during the late spring and early summer. At this time of the year (answer A), most deer tick nymphs are actively feeding on hosts, including humans, increasing the chances of transmitting the disease.
Additionally, the temperature plays a role in the transmission of Lyme disease. The bacterium responsible for causing Lyme disease is called Borrelia burgdorferi. Studies have shown that the bacteria produce temperature-inducible anticoagulation substances (answer B), which enhance their ability to be infective. This means that when the ambient temperature is suitable, the bacteria become more proficient at entering the host's bloodstream during the tick's feeding process. Late spring and early summer generally have warmer temperatures, creating an environment conducive for the bacteria to survive and thrive (answer E). Thus, the combination of active nymphs and favorable temperatures during this time of the year increases the risk of acquiring Lyme disease
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Which are components of the integumentary system? Select five responses.
freckles
stratum granulosum
hyperdermis
keratin
dermis
stratum corneum
Answers
Answer:
freckles
stratum granulosum
keratin
dermis
stratum corneum
According to the context, the components of the integumentary system are:
FrecklesStratum granulosumKeratinDermisStratum corneumWhat is the integumentary system?It is made up of the skin and what is defined as its annexes; that is, nails, hair, sebaceous glands, freckles, the keratin in the stratum corneum that is arranged as compact sheets, among others.
It covers the body and protects it from friction and trauma, on the one hand, and from infections, on the other, it is also a thermoregulatory element.
Therefore, we can conclude that according to the context, the integumentary system is the system composed of the skin and its derivatives.
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Maintaining ________ with established patients includes making follow-up appointment reminders.
Answers
Responses of the Mast cells to the allergen include/s a. All of the answers are correct b. Degranulation c. Secretion of lipid mediators d. Secretion of cytokines
Answers
Answer:
The correct answer is - A. All of the answers are correct.
Explanation:
Mast cells are the cells that are present on connective tissue. These cells have many garnules that are filled with histamin and heparin that play role in first line immune response against allergens. Degranuation is the process of releasing these granules.
Other than this mast cells or mastocytes also secrete lipid mediators and cytokines. These are activated and secreted in presence of allergen or anaphalyxis response.
What is labile hypertension ICD-10?
Answers
In the International Classification of Diseases (ICD-10), labile hypertension is classified under code I10, which encompasses a range of essential (primary) hypertension cases.
Essential hypertension is a type of hypertension that has no obvious cause and is often considered idiopathic. ICD-10 codes are used by healthcare providers to categorize and describe diseases and medical conditions for the purpose of data collection, reimbursement, and medical research. Labile hypertension can be challenging to manage as it may require multiple office visits, medications, and lifestyle modifications. If left untreated, labile hypertension can lead to serious health complications, including heart disease, stroke, kidney failure, and vision loss. Therefore, it is essential to work closely with a healthcare provider to diagnose and manage labile hypertension effectively.
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Describe a time when you had to interact with a challenging patient/customer. What was the situation, and how did you handle it?.
Answers
Explanation:
its asking you for your interaction not someone elses
Penicillin is an example of which type of drug?
a. antihistamine
b. analgesic
c. antiemetic
d. antibiotic
e. hypnotic
Answers
Penicillin is an example of an antibiotic. Antibiotics are drugs that are used to treat bacterial infections by inhibiting or killing the bacteria causing the infection.
Penicillin was discovered in 1928 and was the first antibiotic to be widely used to treat bacterial infections. Since then, many other antibiotics have been developed to treat a wide range of bacterial infections, from skin and respiratory infections to more serious infections such as sepsis.
It is important to note that antibiotics are only effective against bacterial infections and do not work against viral infections such as the common cold or flu. Overuse or misuse of antibiotics can lead to antibiotic resistance, where bacteria become resistant to the drugs, making them less effective. Therefore, antibiotics should only be used when prescribed by a healthcare professional and taken as directed.
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9:01
7
01.
The four (4) phases of a complex movement are?
Answers
Answer:
Every movement skill can be broken down into four main components: preparation/preliminary movement, force production, critical instant and the recovery/follow-through. These are called the phases of movement.
Explanation:
. 1. Could an automated medical diagnosis system ever replace live doctors? Why or why not? at least 200 words
Answers
The question of whether an automated medical diagnosis system could replace live doctors is a complex and multifaceted one.
While automated systems have made significant advancements in medical diagnosis and decision support, there are several factors to consider that suggest complete replacement is unlikely.
First and foremost, medicine is not solely about diagnosis. It encompasses a broad range of skills and expertise that extend beyond pattern recognition. Doctors possess comprehensive knowledge acquired through years of education, clinical experience, and patient interactions. They possess critical thinking abilities, empathy, and the capacity to assess complex medical situations holistically. These qualities are currently challenging for automated systems to replicate fully.
Additionally, medicine involves a human element. The doctor-patient relationship is built on trust, compassion, and effective communication. Patients often seek emotional support, counseling, and reassurance from their doctors. These aspects of healthcare delivery cannot be replicated by machines, as they require empathy, understanding, and the ability to address the unique needs and concerns of individual patients.
Furthermore, medical decision-making is influenced by a variety of factors, including patient preferences, values, and social context. Doctors consider multiple variables, weigh risks and benefits, and tailor treatments accordingly. Automated systems, although capable of analyzing vast amounts of medical data, may struggle to incorporate these nuanced aspects into their recommendations.
Another critical aspect to consider is the ethical and legal implications of automated medical diagnosis. Medical decision-making involves complex ethical considerations, such as patient autonomy, privacy, and accountability. Implementing fully automated systems raises questions about responsibility and liability in the event of errors or adverse outcomes.
That being said, automated medical diagnosis systems can be valuable tools for doctors. They can enhance efficiency, accuracy, and access to information, allowing doctors to make more informed decisions. These systems can assist with data analysis, provide evidence-based guidelines, and offer support in diagnosing rare conditions or complex cases. However, they should be viewed as aids rather than replacements for human clinicians.
In conclusion, while automated medical diagnosis systems have the potential to augment healthcare delivery, it is unlikely that they will completely replace live doctors. The practice of medicine encompasses not only diagnosis but also a multitude of skills, qualities, and human interactions that are challenging to replicate in machines. The human element, ethical considerations, and the holistic nature of medical decision-making make doctors indispensable in providing comprehensive and personalized care to patients.
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Your patient is hypoventilating and complaining of feeling dizzy. In terms of the ventilation and perfusion of this patient, which of the following statements is true?
Ventilation is exceeding perfusion.
Perfusion is less than ventilation.
The VQ ratio is 0.8.
Perfusion is equal to or greater than ventilation.
Answers
The statement that is true in terms of the ventilation and perfusion of this patient who is hypoventilating and complaining of feeling dizzy is "Perfusion is less than ventilation."
Ventilation is the process of inhaling oxygen-rich air into the lungs and exhaling carbon dioxide, while perfusion is the process of delivering oxygen to the tissues of the body. The patient is hypoventilating, which implies that the amount of oxygen-rich air entering the lungs is insufficient. As a result, the patient will feel dizzy. The statement that is true in terms of the ventilation and perfusion of this patient who is hypoventilating and complaining of feeling dizzy is "Perfusion is less than ventilation."
The ventilation-perfusion ratio (VQ ratio) is the ratio of the amount of air reaching the alveoli (ventilation) to the amount of blood reaching the alveoli (perfusion). When ventilation is low, the VQ ratio decreases, implying that perfusion is less than ventilation. This is because ventilation exceeds perfusion. Therefore, the statement that "Perfusion is less than ventilation" is true in terms of the ventilation and perfusion of this patient.
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In a hypoventilating patient complaining of feeling dizzy, perfusion is less than ventilation. This indicates a ventilation-perfusion imbalance.
Explanation:In a patient who is hypo ventilating and complaining of feeling dizzy, the correct statement regarding ventilation and perfusion is that perfusion is less than ventilation. Hypoventilation refers to decreased ventilation, while perfusion refers to blood flow to the lungs. When perfusion is less than ventilation, the VQ ratio (ventilation-perfusion ratio) is higher than 1, indicating a ventilation-perfusion imbalance.
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Which medical term means slow digestion?
a. tachypepsia
b. dyspepsia
c. apepsia
d. bradypepsia
Answers
The medical term that means slow digestion is bradypepsia. The correct answer is D. The term "pepsia" refers to the process of digestion, while "brady-" means slow.
Bradypepsia is a condition in which the digestive system works slower than usual, resulting in a delay in the movement of food through the digestive tract.The symptoms of bradypepsia may include bloating, abdominal discomfort, constipation, and a feeling of fullness after eating. This condition can be caused by a variety of factors, including certain medications, neurological disorders, and hormonal imbalances.Treatment for bradypepsia may involve changes to one's diet, such as eating smaller and more frequent meals, avoiding foods that are difficult to digest, and increasing fiber intake. In some cases, medication may be prescribed to help stimulate digestion or address underlying conditions that may be contributing to the problem.Overall, bradypepsia can be a frustrating and uncomfortable condition, but with the right treatment and lifestyle changes, it is often manageable. If you are experiencing symptoms of slow digestion, it is important to talk to your healthcare provider to determine the underlying cause and develop an appropriate treatment plan.For more such question on digestion
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an older client with a history of hyperparathyroidism and severe osteoporosis is hospitalized. the nurse caring for the client plans to address which problem first?
Answers
When caring for an older client with a history of hyperparathyroidism and severe osteoporosis, the nurse should prioritize addressing the problem of increased risk for pathological fractures.
Severe osteoporosis, coupled with the effects of hyperparathyroidism, can significantly weaken the client's bones, making them susceptible to fractures. Pathological fractures can lead to immobility, pain, and potential complications.
By addressing this problem first, the nurse aims to prevent further bone damage and promote the client's mobility and overall well-being. This may involve implementing measures such as fall precautions, proper body mechanics, assisting with mobility, and providing education on fracture prevention and safety measures.
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what happens in the body when you're sleeping which systems are working
Answers
Answer:
Your pulse, body temperature, breathing, and blood pressure rise to daytime levels. Your sympathetic nervous system, which helps with automatic responses like “fight or flight,” gets very active.
You are told to order 3 bottles of Septra suspension. Each bottle has 480 mL. What is the total liters you are
ordering?
Answers
The 3 vials of Septra suspension. Each bottle has 480ml. the total liters you are asking for is 1,440 liters.
What is septra?This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim. It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and intestinal infections). It is also used to prevent and treat a certain type of pneumonia (pneumocystis-type).
With these informations, we can conclude that the 3 Septra suspension bottles. Each bottle has 480ml. the total liters you are asking for is 1,440 liters.
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Gross examination of urine should include evaluation of color, _______, _______
and ______
Answers
Answer:
Color, Clarity and Specific gravity
Explanation:
Explain why the formulation of ruminant diets and rations is somewhat different in procedures from the formulation of swine and poultry diets. Be specific! Hint: energy
Answers
Answer:
Because of the difference in digestive system.
Explanation:
RUMINANT ANIMALS : they are animals that chew their cud. They are characterized by the fact that they have four different compartments in their stomach. Common examples are goats, cows/cattles, sheep, etc
SWINE AND POULTRY ANIMALS: while swine mainly refer to pig(animal), poultry animals are different types of birds.
Ruminant animals, swines and poultry animals have different formulations for their diet.
The formulation of ruminant diets and rations is somewhat different in procedures from the formulation of swine and poultry diets because of the reason below;
=> The main thing here is because of their digestive system. Ruminant animals have well built digestive system which enables them to be able to eat fibrous plants and ferment roughages which are used for energy which is no so in swines and poultry animals.
What special circumstance should a rescuer consider when using an AED?
Answers
Which certification should one have prior to obtaining his/her EMT certification?
Answers
Answer:
N/A
Explanation:
Im here for the points ngl. You trying to be EMT, why not join the army and become a combat medic?
the two upper chambers of the heart in which blood collects before passing to the lower chambers are called
Answers
What is it called when a baby is born head first?
Answers
Answer:
cephalic presentation
7. What behavior modification technique is used to keep an animal away from an object or area? O A. Habituation O B. Avoidance therapy O C. Desensitization O D. Aversion therapy
Answers
Answer:
Option D (Aversion therapy) is the appropriate choice.
Explanation:
A type of behavioral treatment that involves aversive manipulation to mitigate or suppress the action of symptoms or conditions, combining harmful behavior or symptoms towards negative stimuli. Closely connected with aversive conditioning, another terminology is more often used. See conduct counseling for behavior modification.Some other alternatives are also not relevant to the current situation presented. So, the solution is indeed the correct version.
Lucy must close the accounting books in the old system to have a complete set of financial statements to bring into the new system. How would you guide Lucy through the process of closing the accounting books in the old system? Explain.
Answers
Lucy has decided to close her existing books of accounts in the old accounting system and is initializing a new system.
What about new system for recording of the accounting transactions?In certain situations the business may decide to implement new systems for the recording of the accounting transactions that took place during a particular accounting period. This may happen when a new accounting system. Another case scenario when the closing of books is required is when the existing accounting system has been decided to be abandoned and adoption of a new accounting process is initiated. In either cases, it is required to close the books of accounts for the particular year appropriately and the books must show new records as on the starting date of the next accounting year.
Lucy has decided to close her existing books of accounts in the old accounting system and is initializing a new system which would hold completed financial statements from the old system . In order to carry out this process, Lucy will have to follow the steps as given :
1. Transfer from journals to the general ledger :
In order to close each and every journal, the closing balances should be posted to the appropriate general ledger. The postings to the general ledger would depend on the frequency of recording transactions as followed by the companies - monthly, quarterly or annual.
2. Adding up the general ledger balances :
Each and every entry made into the general ledger should be recorded appropriately and every account should be duly balanced. The asset and expenses would show a debit balance unless under exceptions. The liabilities and revenue accounts will show credit balances, again, unless there are certain exceptions.
3. Preparation of the Preliminary Trial Balance :
From the balances derived from the general ledger balances, the preliminary Trial balance is prepared with assets and expenses having debit balances and the liabilities and revenues having credit balances.
4. Posting adjusting entries :
It may so happen that certain transactions come into light only after the preparation of the preliminary trial balance. Such transactions are recorded using adjusting journal entries. They are posted to the general journal.
5. Preparation of the Adjusting Trial Balance :
After the adjusting entries are made, the new trial balance that incorporates the changes as posted using the adjusting entries is prepared.
6. Drafting of the Financial Statements :
When the balanced Trial balance has been prepared, the two important financial statements of the company can be prepared - The Income Statement and the Balance Sheet. These statements shed light on the financial performance of the company for the particular accounting year.
7. Closing entries :
The balances in temporary accounts are transferred to permanent accounts. This is done by posting closing entries to close every revenue and expense accounts.
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When someone's core body temperature is dropping, what is oftentimes the most obvious indicator that they have transitioned from mild to moderate hypothermia.
Answers
The most obvious indicator of going from mild to moderate hypothermia is that shivering stops.
Hypothermia occurs as the temperature drops below normal levels. In humans, hypothermia is experienced if the temperature is below 36°C. Moreover, hypothermia is classified into:
Mild hypothermia.Moderate hypothermia.Severe hypothermia.Each of these types is related to specific symptoms and therefore their treatment is slightly different.
In the case of moderate hypothermia, the symptoms include:
Slower heartbeat and breathing.Lack of coordination.FatigueThis type differs from mild hypothermia (previous stage) because in mild hypothermia the person shivers but in moderate shivering stops.
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a woman has heard that hypotension can be a problem during pregnancy, but she is not sure what it is or what causes it. the nurse explains that it is simply a temporary bout of low blood pressure due to impaired blood return to the heart. it is commonly caused by sleeping in a position that causes compression of the vena cava blood vessel. to avoid this condition, which suggestion should the nurse make?
Answers
The woman should avoid sleeping in a position that causes compression of the vena cava blood vessel. The vena cava is a major blood vessel responsible for returning blood to the heart from the lower body. When compressed, it can impede blood flow and lead to temporary low blood pressure, resulting in hypotension.
To prevent this condition, the nurse may advise the woman to sleep on her left side. This sleeping position allows for optimal blood flow by minimizing pressure on the vena cava. Sleeping on the left side promotes better circulation and helps ensure proper blood return to the heart, thus reducing the likelihood of hypotension episodes.
By adopting the left side sleeping position, the woman can potentially avoid the temporary low blood pressure associated with impaired blood return to the heart. It is important for pregnant women to be mindful of their sleeping positions and make necessary adjustments to optimize their comfort and circulation during pregnancy.
However, it's worth noting that if the woman experiences persistent or severe hypotension symptoms or has concerns about her blood pressure during pregnancy, she should consult her healthcare provider for further evaluation and guidance.
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why is the heart located close to the lungs
Answers
Answer:
The heart is a strong and muscular, cone-shaped organ that is about the size of a fist. It pumps blood throughout the body and is located behind the breastbone between the lungs. Deoxygenated blood flows from the heart to the lungs where it gives up wastes and is freshly oxygenated.
Explanation:
Hope it can help you lovelots
Answer:
The heart is slightly tilted towards the left side because the right lung is larger than the left lung. This condition provides the heart with enough space to function properly and pump blood efficiently to different parts of the body.
Explanation:
This is because the heart's bottom-left chamber (the 'left ventricle') is responsible for pumping oxygenated blood around the whole body, so it needs to be stronger and larger than the right ventricle, which only pumps blood to the lungs.