The nurse knows it is important to teach the parent about medication administration, which process will the nurse include in the teaching is to give the beaten medicine in a syringe blended with a small quantity of formula.
Only levothyroxine is suggested for remedy. It has been mounted as safe, effective, inexpensive, without problems administered, and without problems monitored.
Congenital hypothyroidism is handled with the aid of using giving thyroid hormone medicine in a tablet shape referred to as levothyroxine. Many youngsters would require remedy for life. Levothyroxine need to be beaten and given as soon as daily, blended with a small quantity of water, formula, or breast milk the use of a dropper or syringe.
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Judy has been suffering from depression for several years. Medication worked at first, but it has not been effective for the last two years, even though judy has tried several different drugs. Judy is willing to try a different type of biological treatment, but she does not want any part of her brain physically altered. What treatment might her psychiatrist recommend?.
Judy has depression, and despite medicine and various therapy, she is not improving.In light of this, her doctor may advise recurrent TMS as a form of treatment (rTMS).
What is rTMS treatment used for?Using a series of brief magnetic pulses to stimulate nerve cells in regions of the brain known to be linked to significant depression, TMS is a noninvasive technological advancement.Due to the repeating nature of the magnetic pulses used in the treatment for depression, it is frequently referred to as repetitive TMS (rTMS). A changing magnetic field is used to electromagnetically create an electric current to a particular region of the brain during transcranial magnetic stimulation, a non-invasive method of brain stimulation.A magnetic coil attached to the scalp is coupled to an electric pulse generator or stimulator.An electromagnetic coil is applied to the scalp close to the forehead during a rTMS session.An electromagnetic pulse is painlessly delivered by the electromagnet, stimulating the nerve cells in the area of the brain responsible for mood regulation and depression.To learn more about rTMS treatment refer
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a client calls the primary health care provider's office to schedule an appointment because she has missed 2 menstrual cycles and has always been very regular. the client receives an appointment for the next day. the nurse should expect which findings to be present at this prenatal visit if the client is pregnant? select all that apply.
The nurse should expect the findings below to be present at this prenatal visit if the client is pregnant:
Positive pregnancy testChadwick's sign.What is Pregnancy?This is referred to as the period in which a fetus develops inside the uterus or womb of a female while nurses are referred to as healthcare professionals who specialize in taking care of the sick and infirmed and ensuring that adequate recovery is achieved.
Chadwick sign is referred to as an early sign of pregnancy which is characterized by a bluish discoloration of the cervix, vagina, and vulva and can be observed by the doctor.
Different types of test which indicates pregnancy such as detection of human chorionic gonadotropin is what will confirm if a woman is pregnant thereby making it the correct choice.
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which step would the nurse take when preparing to administer rho immune globulin to a postpartum client
Start a primary or a number one intravenous (IV) line is the step that could the nurse take whilst getting ready to administer rho immune globulin to a postpartum client.
Rho(D) immune globulin is used to deal with immune thrombocytopenic purpura (ITP) in sufferers with Rh-tremendous blood. ITP is a form of blood sickness in which the man or woman has a totally low wide variety of platelets. Platelets assist to clot the blood. Rho(D) immune globulin is likewise used to save you antibodies from forming after someone with Rh-terrible blood gets a transfusion with Rh-tremendous blood, or at some point of being pregnant whilst a mom has Rh-terrible blood and the infant is Rh-tremendous.
It belongs to a set of drugs known as immunizing agents. Rho(D) immune globulin works to enhance the immune machine and save you immoderate bleeding. The Rh element is one a part of the pink blood cell. A man or woman has both Rh-tremendous or Rh-terrible blood. If you get hold of the other form of blood, your frame will create antibodies that may wreck the pink blood cells. When a pregnant female is Rh-terrible and her infant is Rh-tremendous, the infant's blood can get into her machine and purpose her to make antibodies.
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which response would the nurse make to the overstressed parent of a child with a tentative diagnosis of attention-deficit/hyperactivity disorder (adhd) who insists on medication for the child
"Having to deal with your child's behavior must be frustrating." -Admitting that it must be irritating helps parents express their emotions by acknowledging their suffering.
Inattention, impulsive conduct, and hyperactivity in varying degrees are the hallmarks of attention deficit hyperactivity disorder (ADHD), sometimes known as attention deficit disorder (ADD).
ADHD is "nature and nurture," meaning that both genetic and environmental factors play a role.
According to brain research on people with ADHD, dopamine transporter-1 is overexpressed and the dopamine receptor D4 (DRD4) receptor gene is defective (DAT1).
The DRD4 receptor modifies responses to and attention to one's environment via DA and NE.
There may not be enough interaction between the postsynaptic receptor and the dopamine transporter protein, or DAT1, which transports DA/NE into the presynaptic nerve terminal.
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development team wants to gain full observability into the health of their applications and instances in order to provide the best service level to users of their applications. which services can help them monitor the health of their applications and instances? (choose 3)
The services that can help them monitor the health of their applications and instances are
A.route 53
B.Elastic Load Balancing
C.Elastic Beanstalk
A.route 53
route 53 can be used to configure DNS fitness exams to path visitors to wholesome endpoints or to monitor the health of your applications.
B.Elastic Load Balancing
Load balancers monitor the fitness of EC2 instances and path the traffic to most effective times which are in a healthful country.
C.Elastic Beanstalk
Elastic Beanstalk monitors utility fitness via a fitness dashboard.
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the nurse in the labor room is caring for a client in the active stage of the first phase of labor. the nurse is assessing the fetal patterns and notes a late deceleration on the monitor strip. what is the most appropriate nursing action?
During labor and delivery, the nurse should be respectful, available, encouraging, professional, and supportive.
What are the nursing action in labour and delivery ?For a pregnant woman, labor is a life-changing and priceless experience. A woman faces panic and make-or-break moments in her life after 9 months of completion. Both nurses and traveling nurses play an important role during labor and delivery by providing the necessary nursing interventions.
The nurse is the first person pregnant women come into contact with. During labor and delivery, the nurse should be respectful, available, encouraging, professional, and supportive.
As nursing interventions during labor and delivery, a health care provider should provide comfort measures, information, instructions, emotional support, advocacy, and support for the family. This article provides information about nursing interventions for pregnant women during labor and delivery.
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What is the medical term for the opposite side of the elbow? pollex distal phalanx axillary cubital fossa.
a nurse is caring for a client diagnosed with ovarian cancer. diagnostic testing reveals that the cancer has spread outside the pelvis. the client has previously undergone a right oophorectomy and received chemotherapy. the client now wants palliative care instead of aggressive therapy. the nurse determines that the care plan's priority nursing diagnosis should be:
The client wants palliative care instead of aggressive therapy therefore the nurse determines that the care plan's priority nursing diagnosis should be acute pain and is denoted as option D.
Who is a Nurse?This is referred to as a healthcare professional who takes care of the sick and ensures that adequate recovery is achieved so as to reduce the risk of complications.
In a patient who has undergone cancer treatment and wants to choose the type of therapy to do then the factor which should be prioritized is acute pain. This is because it signifies that a certain amount of force which could worsen the condition is being exerted.
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The options are:
a) Noncompliance.
b) Impaired home maintenance.
c) Knowledge deficit: Chemotherapy.
d) Acute pain.
the physician orders a transfusion with packed red blood cells (rbcs) for a client hospitalized with severe iron deficiency anemia. when blood is administered, what is the most important action the nurse can take to prevent a transfusion reaction?
The most crucial step a nurse may take to prevent a transfusion response is to confirm the patient's identification when blood is provided per hospital policy. Iron deficiency is frequently brought on by a poor diet, persistent bleeding, pregnancy, and hard exercise.
It is possible to avoid acute hemolytic transfusion responses. Most hemolytic transfusion responses are caused by improper identification. One cannot overstate the importance of carefully marking blood samples and components and correctly identifying the recipient. The nurse's duty is to make sure the right blood component is transfused to the right patient.
A person may have an iron deficiency if they are unable to absorb iron. It is possible to treat iron deficiency by introducing foods high in iron to the diet.
Thus, we may conclude that verifying the patient's identification when blood is given in accordance with hospital protocol is the most important action a nurse can do to prevent a transfusion reaction.
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Your question is incomplete. Please find the complete question below.
Question: The physician orders a transfusion with packed red blood cells (RBCs) for a patient hospitalized with severe iron deficiency anemia. When blood is administered, what is the most important action the nurse can take to prevent a transfusion reaction?
A. Premedicate the patient with acetaminophen (Tylenol)
B. Administer the blood as soon as it arrives
C. Verify the patient identification according to hospital policy
D. Stay with the patient during the first 15 minutes of the transfusion
the nurse is irrigating a client's pressure injury. how would the nurse know when to stop irrigating the wound?
A customer who had a left hemisphere stroke a year ago is set to receive a wound irrigation from a nurse. Which examination should the nurse conduct before starting the irrigation.
Neurologic 1
2 Wound
3 Pain
3 Pain 4 Skin
Before starting a potentially unpleasant process like a wound irrigation, pain assessment must be done. Unless the client’s neurologic condition has gotten worse following the stroke, a neurologic exam is not required. Once client comfort has been established and taken care of, skin and wound exams can both be evaluated.A cramp, also known as a sudden, involuntary muscular contraction or overshortening, can cause severe pain and immobility that resembles paralysis, but they are frequently non-damaging and transient.Muscle cramps are widespread and frequently associated with pregnancy, vigorous exercise or overexertion, ageing (common in the elderly), or they could be a sign of a motor neuron disorder. Cramping can occur in skeletal or smooth muscles.,Skeletal muscle cramps can be caused by overworking the muscles or by a lack of electrolytes like magnesium, potassium, or sodium (a condition known as hyponatremia).Certain skeletal muscle cramps have an unidentified origin.
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which behaviors are expected of the nurse at the experienced informatics competency level? (select all that apply.)
One element of the nursing framework is data.that would be used first by the nurse.According to the American Nurses Association,I'll explain what nursing informatics is after is a field of study that combines nursing science.
Information science, computer science the control and dissemination of data, information,expertise and discernment in nursing practise".The connections between information, knowledge, and data The D IKW Pyramid demonstrates In the structure, data is placed first and is followed by information, wisdom, and knowledge. Each A step on the ladder is a component DATA: The foundation for information the framework's most basic components.• Information:- In a specific situation, data and context data has the meaning ascribed to it by context.to it. It is a collection of data that has been organised, structured, or analysed Understanding.LIFELONG LEARNING (option B) is the notion that the nurse who is presenting an in-service programme on nursing informatics competencies has to utilise to describe the requirement for computer fluency for nursing informatics competencies.
Learning new things is the definition of lifelong learning. It is a choice, individual learning process.Nursing informatics competencies heavily rely on computer proficiency, which is a lifelong learning endeavour. The following are two reasons why computer literacy is important.
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a nurse is providing education to parents of a child diagnosed with vesicoureteral reflux (vur). which would be included in the parental education? group of answer choices this occurs when there is back flow of urine from the bladder into the ureters and sometimes into the kidneys. this occurs only when there is an obstruction of the ureteropelvic junction. this is diagnosed by abdominal x-ray. this is typically treated with a kidney transplant.
This occurs when there is backflow of urine into the bladder and sometimes the kidneys, this occurs only when there is an obstruction of the ureteropelvic junction
What is vesicoureteral reflux?
Urine typically travels from the kidneys down the ureters to the bladder in a single direction. What transpires, though, if pee returns from the bladder to the ureters? Vesicoureteral reflux is the term for this.
Urine flows backward from the bladder, up the ureter, and into the kidney in vesicoureteral reflux. Either one or both ureters may experience it. Bacteria from the bladder can enter the kidney when the "flap valve" malfunctions and allows urine to flow backward. This can result in a kidney infection, which might harm the kidneys.
The ureters and kidneys enlarge and twist when there is a more severe flow of urine back up the ureters. If an infection is present, more severe reflux is linked to a higher risk of kidney injury.
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a client has undergone a lumbar puncture as part of a neurological assessment. the client is put under the care of a nurse after the procedure. which important postprocedure nursing intervention should be performed to ensure the client's maximum comfort?
The important post procedure nursing intervention should be performed to ensure the client's maximum comfort are the nurse must be aware of the subsequent nursing interventions post-lumbar puncture.
Apply quick stress to the puncture . Pressure could be carried out to keep away from bleeding, and that e is protected with the aid of using a small occlusive dressing or band-aid. Place the affected person flat on bed. you could be requested to drink more fluids to rehydrate after the procedure.
This replaces the CSF that become withdrawn in the course of the spinal faucet and decreases the danger of growing a headache. Encourage the purchaser to drink liberal quantities of fluids.
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after administration of an inferior alveolar nerve block, the patient reports that the lingual gingival tissue of the mandibular premolars and molars is still sensitive. which nerve usually provides sensation from the gingival tissue in this area?
The patient reports that the lingual gingival tissue of the mandibular premolars and molars is still sensitive after receiving an inferior alveolar nerve block. Normally, the lingual nerve provides sensation from the gingival tissue in this area.
The lingual nerve is the sensory nerve for the body of the tongue, the floor of the mouth, and ALL mandibular teeth's lingual gingival tissue.
The lingual nerve is a sensory nerve that arises from the trigeminal nerve's mandibular division (cranial nerve V). After the mandibular division enters the infratemporal fossa through the foramen ovale, the lingual nerve frequently shares a stem with the inferior alveolar nerve . The lingual nerve divides from the inferior alveolar nerve before descending anteriorly into the oral cavity. In the third molar region, it travels adjacent to the medial surface of the mandibular ramus. It innervates the mucous membrane of the anterior two-thirds of the tongue, the floor of the oral cavity, and the adjacent lingual gingiva while doing so.
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an older homeless client visits the psychiatric clinic to obtain a prescription renewal for alprazolam (xanax). during the health assessment, the client complains of chest pain. which action should the rn take first?
The RN should check to see if Xanax was recently consumed by the patient.
What is Xanax ?Xanax is defined as anxiety and panic disorders are treated with benzodiazepines. Drowsiness, dizziness, increased salivation, and changes in sex drive or ability are all possible side effects.
Alprazolam, which belongs to the 1,4 benzodiazepine class of substances for the central nervous system, is the active ingredient in Xanax. It is made up of a white, crystalline powder that can dissolve in ethanol and methanol.
Thus, the RN should check to see if Xanax was recently consumed by the patient.
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lsd psilocybin and morning glory seeds are hallucinogens that are sometimes referred to as indoles are chemically similar to
LSD, psilocybin, and morning glory seeds are hallucinogens often referred to as indoles. These types of drugs are chemically similar to: Serotonin.
What is serotonin?Serotonin, which has the chemical structure of 5-hydroxytryptamine, is a monoamine neurotransmitter that is responsible for acting as a mood stabilizer. It is chemically similar to the indoles as it has an electron-rich aromatic indole ring. LSD, psilocybin, and morning glory seeds also contain the indole substructure. The effects of the indoles are also similar to serotonin. For example, LSD alters our minds by targeting the receptor for serotonin in our brains.
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when assessing a client prescribed hemodialysis, the nurse notes the client's blood pressure is 140/82 mm hg, heart rate is 82 beats/min, and respirations are 12 breaths/min. the nurse also notes a continuous vibration over the client's fistula. what is the appropriate action by the nurse?
The nurse notes the client's blood pressure is 140/82 mm hg, heart rate is 82 beats/min with a continuous vibration over the client's fistula being observed then the appropriate action is to document the reading and monitor the blood flow.
Who is a Nurse?This is referred to as a healthcare professional who takes care of the sick and ensures that adequate recovery is achieved so as to reduce the risk of complications.
In a situation where the blood pressure is normal and there is continuous vibration over the client's fistula being observed then the appropriate action is to document the reading and monitor the blood flow.
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is tuberculin testing an example of in vivo serological test
Tuberculin testing is an example of in vivo serological test.
In vivo diagnosis of T.B. in goats is especially supported connective tissue liquid tests. different tests area unit evaluated so as to seek out tools to enhance designation of T.B. in goats. Serological tests together with connective tissue tests will maximize sensitivity. Serology tests check for the presence or level of specific antibodies within the blood.
Tuberculin testing, is procedure for the designation of T.B. infection by the introduction into the skin, typically by injection on the front surface of the forearm, of a second quantity of refined macromolecule spinoff (PPD) liquid.
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a student asks the instructor what the goal of drug therapy is in hypotension and shock. what would the instructor respond?
Dopamine, epinephrine, norepinephrine, and other neurotransmitters are among them. Agents that are inotropic are used in hypotension and shock.
What is the goal of drug therapy?
Treatment with any substance other than food used to prevent, diagnose, treat, or alleviate the symptoms of a disease or abnormal condition.
Epinephrine is used to treat hypotension that has not responded to dopamine or norepinephrine. It stimulates alpha- and beta-adrenergic receptors, causing bronchial smooth muscle relaxation, increased cardiac output, and increased blood pressure.
Therefore, These medications, which help to improve the heart's pumping function, may be used until other treatments begin to work.
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a client is being seen in the clinic for symptoms of hyperinsulinism. the nurse provides information to the client regarding dietary measures for the condition. which diet would be most appropriate to suggest to the client?
The diet that would be most appropriate to suggest to the client who is being seen in the clinic for symptoms of hyperinsulinism is one that restricts excessive simple carbohydrates, which may also be associated with small and frequent meals with protein, fat, and carbohydrates at each meal.
What is hyperinsulinism?Hyperinsulinism is a health problem in which the individual generates an excessive amount of insulin hormone in the pancreas, which is in response to the metabolism, especially from glucose.
Therefore, with this data, we can see that the hyperinsulinism medical condition may be reduced by reducing the size of the meal which decreases the production of insulin.
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the best way to determine if an athlete is consuming adequate calories is to multiple choice compare dietary intake to calculated energy needs. track changes in weight over time. evaluate the color of urine. measure serum triglycerides.
The best way to determine if an athlete is consuming adequate calories is to track changes in weight over time.
Why calories are important for athletes?As an athlete, your physical health is key to an active lifestyle. Athletes depend on strength, skill, and endurance, whether you’re going for the ball or making that final push across the finish line. Being your best takes time, training, and patience, but that’s not all. Like a car, your body won’t run without the right fuel. You must take special care to get enough of the calories, vitamins, and other nutrients that provide energy.An athlete’s diet is not much different than that of any person striving to be healthy. You need to include choices from each of the healthy food groups. However, athletes may need to eat more or less of certain foods, depending upon:The type of sport.The amount of training you do.The amount of time you spend in training.To learn more about athletes, refer to
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a pregnant woman diagnosed with diabetes should be instructed to perform which action?
A pregnant woman diagnosed with diabetes should be instructed to notify the physician if unable to eat because of nausea and vomiting.
Diabetes is a chronic, metabolic illness characterised by elevated levels of glucose (or blood sugar), that leads over time to serious harm to the center, blood vessels, eyes, kidneys and nerves.
Nausea is an uneasiness of the abdomen that always accompanies the urge to vomit, however does not invariably result in vomiting. Vomiting is that the physical voluntary or involuntary removal ("throwing up") of abdomen contents through the mouth. Nausea will have causes that are not thanks to underlying illness. Examples embrace motion like from a automobile and plane, taking pills on an empty abdomen, uptake an excessive amount of or insufficient or drinking an excessive amount of alcohol.
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after teaching a group of students about how to perform peritoneal dialysis, which statement would indicate to the instructor that the students need additional teaching?
After teaching about how to perform peritoneal dialysis, the statement which would indicate to the instructor that the students need additional teaching is "It is appropriate to warm the dialysate in the microwave."
Peritoneal dialysis is a form of chemical analysis that uses the serosa in a very person's abdomen because the membrane through that fluid and dissolved substances are changed with the blood. it's accustomed take away excess fluid, correct solution issues, and take away toxins in those with kidney failure.
Dialysate, conjointly known as dialysis fluid, dialysis solution, is a resolution of pure water, electrolytes and salts, like bicarbonate and sodium. the aim of dialysate is to tug toxins from the blood into the dialysate. The approach this works is thru a method known as diffusion.
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the nurse is caring for a client who has just returned to the postsurgical unit following renal surgery. when assessing the client's output from surgical drains, the nurse should physically assess what parameter(s)? select all that apply.
The client's output from surgical drains, the nurse should physically assess what parameter(s) are The dreams for a affected person with persistent renal failure include: Maintenance of best frame weight with out extra fluid. Maintenance of good enough dietary intake.
Renal Care Nurse gives expert nursing care to sufferers having remedy for renal impairments. You would possibly paintings with sufferers on dialysis or who're present process a kidney transplant. Renal Care Nurses would possibly screen sufferers' kidney feature and investigate associated symptoms.
During remedy, nurses put together fluids, regulate fluid settings to offer fluid balance, put together electrolyte additives, screen acid base and electrolyte levels, screen affected person and machine "essential signs," and, while necessary, diagnose circuit clotting and carry out a disconnection of the EC from the affected person.
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the nurse is caring for an adult client who has developed a mild oral yeast infection following chemotherapy. what actions should the nurse encourage
The actions to be encouraged for a client who developed a mild oral yeast infection following chemotherapy should be:
Use a lip lubricant. Use dental floss every 24 hours. Rinse the mouth with normal saline.Chemotherapy is the chemical treatment for cancer where highly powerful chemicals are used for killing the cancer cells. These chemicals are therefore called anti-cancer drugs.
Dental floss is the dental tool used to remove the stuck food in between the teeth so as to prevent any infection or growth of bacteria. The floss is usually made of plastic or nylon material and is like a thread.
The given question is incomplete, the complete question is:
The nurse is caring for an adult client who has developed a mild oral yeast infection following chemotherapy. What actions should the nurse encourage ?
A) Use a lip lubricant.
B) Scrub the tongue with a firm-bristled toothbrush.
C) Use dental floss every 24 hours.
D) Rinse the mouth with normal saline.
E) Eat spicy food to aid in eradicating the yeast.
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The conversion of the stimulus into an action potential to be interpreted by the brain is called.
The conversion of the stimulus into an action potential to be interpreted by the brain is called transduction.
Signal transduction is the process of by which signals between cells carried by neurotransmitters, hormones, and many others are converted into biochemical signals within the brain cells. The stimulus is translated into action potential by a type of cell called the sensory receptor. The receptor cells convert the stimulus into an electrical signal.
There are three stages of transduction:
Reception: a cell detects a signal when the chemical signal binds to the cell's receptor protein.Transduction: the signal chemical change the receptor protein, initiating the transduction [rocess.Response: the signal triggers a certain cellular response.Learn more about transduction at https://brainly.com/question/20372593
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what is priority for the nurse to do when transporting a newborn back to the mother after completing the hearing test?
Answer: The nurse needs to compare the identification bracelets prior to leaving the newborn with the mother.
one potential medical treatment to stop cancer cell proliferation employs an inhibitor derived from human umbilical cord stem cells. in this exercise, you will compare two histograms to determine where in the cell cycle the inhibitor blocks the division of cancer cells.
The text in the question is actually a snippet of an article about glioblastoma (you can see the full details in the attachment). Based on the search, the question related to this article is:
"At what phase is the cell cycle arrested by an inhibitor?"The answer is that the treated glioblastoma cells were cultured with an inhibitor from umbilical cord stem cells, while the control cells were not.
What is glioblastoma?Glioblastoma is a deadly malignant type of cancer that can develop in the brain or spinal cord. Glioblastoma can develop at any age, although it is more common in older persons. It can aggravate nausea, headaches, vomiting, and seizures.
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the nurse is calculating a client's fluid intake for a 24-hour period. the client is on hemodialysis and urinates about 100 ml a day. the client is on a fluid restriction of 750 ml per day. the client drank 4 oz of tea and 4 oz of orange juice for breakfast, 4 oz of water at 1200 and at 1700 when taking his medications, and 4 oz of iced tea at lunch and supper. at 0800 and again at 1400, the client received his intravenous antibiotics in 50 ml of normal saline. how many ml of fluid does the client have left to drink for the day? fill in the blank.
Based on the difference between the volume of fluid intake and fluid output, the volume of fluid left to take is 30 mL.
What is fluid restriction?Fluid restriction refers to a situation where an individual is given medical advice on the volume of fluid that he or she can in a day.
The volume of fluid the client has left to take is calculated as follows:
The volume of tea taken is 4 * 30 = 120
The volume of orange juice taken is 4 * 30 = 120 mL
The volume of water taken at 12:00 is 4 * 30 = 120 mL
The volume of water at 17:00 is 4 * 30 = 120 mL
The volume of ice tea taken at lunch is 4 * 30 = 120 mL
The volume of ice tea taken at supper is 4 * 30 = 120 mL
The volume of intravenous antibiotics at 08:00 & 14:00 is 50 + 50 = 100 mL
Total intake volume of fluid intake = 820 mL
Urine output = 100 mL
The difference between the volume of fluid intake and fluid output is 820 - 100 = 720 mL
The volume of fluid left to take = 750 - 720
The volume of fluid left to take = 30 mL
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A father requests information on how to care for his child with severe diaper rash. Which statement made by the child’s father indicates a need for additional teaching?