A 75-year-old woman with type 2 diabetes has recently been placed on glipizide (Glucotrol), 10 mg daily. She asks the nurse when the best time would be to take this medication. What is the nurse's best response?a. "Take this medication in the morning, 30 minutes before breakfast."b. "Take this medication in the evening with a snack."c. "This medication needs to be taken after the midday meal."d. "It does not matter what time of day you take this medication."
Answers
A nurse should advise a 75-year-old patient with type 2 diabetes who has lately been prescribed glipizide (Glucotrol), 10 mg daily, to take this medicine in the morning, 30 minutes before breakfast.
The morning dose of glipizide is administered 30 minutes before breakfast. It has a stronger effect of effect when given at this time, resulting in a steady release of insulin. This could help keep blood sugar levels under control all day long.
Strong diabetic drugs that administer to individuals with type 2 diabetes to restrain their blood glucose statuses include glipizide & metformin. It can be used either independently or in conjunction with another prescription called Metaglip. When used in conjunction with a beneficial diet & constant workout, glipizide & metformin are worthwhile.
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Related Questions
A six minth old patient is seen at the clinic for a routine visit and vaccinations. During th
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I dont think you pit the entire question there.
A 56 year old woman with Left extremity weakness
A 56 year old woman with a past medical history of hypertension and hyperlipidemia presents with left extremity weakness.
The condition initially began in January with weakness in her left foot and ankle. This remained stable until motor vehicle accident in April. The patient was evaluated for whiplash injury.
Two to three weeks following the accident, the patient noticed that the weakness had progressed up the leg.
As of July, the patient had developed weakness of the left hand.
By October, the patient had started to use a walker and then a wheelchair to ambulate.
In December, the patient was unable to grasp objects with her left hand and presented with atrophy of the hand muscles
Review of Pertinent Symptoms
No bulbar symptoms
No sensory loss
No neck pain
No bowel/bladder dysfunction
Chronic lower back pain
Localize neurologic lesions
Cortex/subcortex
Brainstem
Spinal cord
Peripheral Nerve
neuromucular Junction
Muscle
Physical Exam
Mental status intact
Cranial nerves (CNS) Intact
Motor Function
Strength
Left upper extremity 3/5 strength, except 2/5 strength in the dorsal interossei
Left lower extremity 3+/5 strength to all muscle groups tested
Right upper extremity/right lower extremity 5/5 strength.
Bulk significant atrophy in the left hand
Reflexes 3+ throghout
Sensation: intact throughout
Fasciulations within the left arm in the multiple muscle groups and less frequently in the right arm
The patient has typical Combined UMN and LMN disease findings
Rule out Mimics
Creatine kinase: 53
Erythrocyte sedimentation rate and C- reactive protein WNL
Antinuclear antibodies: negative
Thyroid-stimulating hormone: 1:2
Serum protein electrophoresis without M spike
Free light chains WNL
Rapid plasma reagin RPR was Negative
Vitamin B12 level WNL (533 pg/mL)
Copper level WNL (119 mcg/dL)
Negative for Lyme disease test
Vitamin E WNL
Human Immunodeficiency virus HIV was negative
Electromyography (EMG) Nerve Conduction Velocity
Consistent with Motor neuron disease
Left median motor and ulnar motor responses revealed low amplitude
All sensory nerve studies were intact with normal values
Needle EMG showed abnormal spontaneous activity with obvious neurogenic pattern on activation in all four extremities
Diagnosis
Motor neuron disease
Amyotrophic lateral sclerosis
Answers
Based on the patient's clinical history, physical examination findings, and diagnostic tests, the most likely diagnosis for this 56-year-old woman with left extremity weakness is amyotrophic lateral sclerosis (ALS), also known as motor neuron disease.
What is ALS?ALS is a progressive neurodegenerative disorder that affects the motor neurons in the brain and spinal cord, leading to weakness, atrophy, and fasciculations in the muscles. The patient's symptoms of weakness initially starting in the left foot and ankle, and then progressing up the leg and involving the left hand, along with the atrophy of hand muscles and abnormal findings on electromyography (EMG) and nerve conduction velocity testing, are consistent with the diagnosis of ALS.
Other potential mimics of motor neuron disease have been ruled out through laboratory tests and imaging studies, and the patient's clinical presentation is characteristic of combined upper motor neuron (UMN) and lower motor neuron (LMN) involvement, which is typical of ALS. Further evaluation and management should be done by a neurologist specializing in motor neuron diseases.
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When the nurse Auscultates the abdomen the assessment should begin in which quadrant?
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When the nurse auscultates the abdomen, the assessment should begin in the right lower quadrant.
This is because bowel sounds normally begin in the ileocecal valve area, which is located in the right lower quadrant. From there, the nurse can move in a clockwise direction to listen to sounds in the other quadrants. It is important to assess for the presence and character of bowel sounds, which can indicate the functioning of the gastrointestinal system. The nurse should listen for at least one full minute in each quadrant to ensure an accurate assessment of bowel sounds.
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According to the National Institute of Health, atrial fibrillation occurs if rapid, disorganized electrical signals causing the heart's two upper chambers, called the atria, to fibrillate. The term "fibrillate" means to contract very fast and irregularly. In atrial fibrilation, blood pools in the atria. It isn't pumped completely into the heart's two lower chambers, called the ventricles. As a result, the heart's upper and lower chambers don't work together as they should.
Based on the passage above, how will atrial fibrillation affect blood pressure?
It will lower blood pressure because less blood is pumped per beat.
It will increase blood pressure because the heart is contracting faster.
It will increase blood pressure because the atria fill fully with blood.
It will lower blood pressure because blood volume drops in the atria.
Answers
#1 (it will lower blood pressure because less blood is pumped per beat)
you are on the scene your patient is a 60 year old woman who stepped off a curb and injured her ankle. your exam shows that her left ankle is swollen and painful. which of the following should you do ?
A) Transport the potioni immediately to a trauma center, applying high-fluer oxygen enroute
B) Explain to the patient that her ankde in frectured and you must oplini her ankde to prevent[urther injury and reduce pain C) Explain to the pattent that you won't know what type of injury she has to her ankle until the isx-royed at the amargency department and splint the ankle
D) Explain to the pattent that her ankde is sprained and transport her with her ankle elevated on apills with a cold pack opplied to the injury
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D) Explain to the pattent that her ankde is sprained and transport her with her ankle elevated on apills with a cold pack opplied to the injury.
It is important to take the appropriate actions to ensure the patient's safety and well-being after an injury. In this case, the patient has a swollen and painful left ankle, but without x-raying the ankle it is not possible to know the nature and extent of the injury. Therefore, option C is the most appropriate. Explain to the patient that you won't know what type of injury she has to her ankle until the is x-rayed at the emergency department and splint the ankle to prevent further injury and reduce pain. Splinting the ankle is a first step in managing her injury and will help to keep her ankle in a stable position while she is transported to the emergency department. High-flow oxygen is not necessary unless the patient is showing signs of distress. A and D options are not appropriate as they are not based on a proper diagnosis.
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a mental or emotional condition so severe it interferes with daily functioning is called a
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why thalidomide works on morning sickness while its a sedative?
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Answer:
It is an immunomodulatory medication and works by a number of ... was promoted for anxiety, trouble sleeping, "tension", and morning sickness. It was sedative cause it eased the pain or nausea for pregnant women.
Explanation: That's why
If a drug that blocked the reabsorption of sodium were taken, what would happen to the reabsorption of glucose?
Answers
The reabsorption of glucose would not be directly affected by a drug that blocked the reabsorption of sodium.
The reabsorption of glucose occurs primarily through glucose transporters located in the proximal convoluted tubule of the kidney. These transporters are not directly affected by sodium reabsorption. Therefore, a drug that blocks sodium reabsorption would not have any direct effect on the reabsorption of glucose.
However, changes in sodium reabsorption can indirectly affect glucose reabsorption by altering the concentration of solutes in the filtrate, which can alter the concentration gradient that drives glucose reabsorption. But the direct effect of a drug blocking the reabsorption of sodium would not affect glucose reabsorption.
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cpr/first aid help pls!!
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Performing CPR can help save lives in emergency situations.
CPR stands for Cardio-Pulmonary Resuscitation and it is an emergency technique that is performed to keep the person alive until professional medical help arrives. The technique involves performing chest compressions and artificial respiration to restore the breathing and blood circulation of the person suffering from cardiac arrest or any other medical emergency Knowing CPR can be extremely helpful in emergency situations and can save lives. Here are some steps to follow when performing CPR:1. Check the person’s responsiveness:
Before starting CPR, check if the person is conscious and responsive. If they are not, call for medical help immediately.2. Begin chest compressions: Place the person on a flat surface and kneel beside them. Interlock your fingers and place your hands on the center of the person’s chest. Push down on the chest with a quick motion to perform chest compressions. Repeat this 30 times at a rate of 100-120 compressions per minute.3. Perform artificial respiration: Tilt the person’s head back and lift their chin to open their airway. Pinch their nose closed and seal your mouth over theirs. Blow into their mouth for about 1 second and watch for their chest to rise. Repeat this process two times.4. Repeat chest compressions and artificial respiration: Repeat the cycle of 30 chest compressions followed by two breaths until medical help arrives or the person starts breathing on their own. Performing CPR can be mentally and physically exhausting, so it’s important to stay calm and focus on the task at hand.
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If Kathy is not familiar with medication which resources does she need to learn about the properties of the drug
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Answer:
If Kathy is not familiar with medication, she should consult her doctor or pharmacist to learn about the properties of a drug before taking it. The doctor or pharmacist can provide detailed information about the drug's dosage, side effects, interactions with other medications, and potential contraindications for specific medical conditions. In addition, Kathy can also consult medical reference books or websites, such as WebMD, to learn more about the properties of a drug. She can search for specific drugs using the drug's name, brand name, or generic name, and can find information on usage, side effects, and other important information. Kathy should always read and keep a copy of the label or any written instructions that come with the drug, which can provide additional information about what to do in case of an emergency or side effects.
Kathy can learn about a medication from prescription labels, pharmacist consultations, trusted online medical websites, and the patient info leaflet that comes with the drug.
Explanation:If Kathy is not familiar with a medication and wants to learn about its properties, there are numerous resources available to aid her in gathering the necessary facts. Some valuable sources include: Prescription Labels, which give a basic overview of the drug, its intended use, instructions for use, and potential side effects; Pharmacist Consultations, a pharmacist can provide detailed info about the drug, its possible interactions and side effects; and Trusted Online Medical Websites like Mayo Clinic, WebMD, and National Institutes of Health offer detailed descriptions about many medications and help in understanding the drug's properties, benefits, side effects and potential interactions with other drugs. Lastly, the Patient Information Leaflet packed with the medication provides comprehensive info about the drug, and is often available online if lost or discarded.
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A research study analyzed the health records of over 95,727 children. They divided the children at each age(2, 3, 4, or 5 years) into vaccinated for MMR and not vaccinated. 15,000 children were not vaccinated at age 2 and 8,000 remained not vaccinated at age 5. The autism rate for each group at each age was determined. The researchers found no association between the MMR vaccination and increased risk of autism spectrum disorder(ASD). This study is an
Answers
Answer:
A retrospective cohort study
Explanation:
A retrospective cohort study is a type of observational epidemiologic study where the risk of disease is retrospectively (i.e., posteriorly) compared between an exposed group versus a non-exposed group. In a similar way to prospective cohort studies, a retrospective cohort study also categorizes individuals under study depending on if they were exposed or not to the factor of interest. However, in this type of experimental design, the study begins at a point in time after both exposure and outcome have already occurred. Thus, a retrospective study is conceived after some individuals have already developed the outcome (e.g., disease/disorder) of interest.
HELP PLEASE WILL GIVE BRAINLIEST
Match each of the following psychologists to the correct descriptions by entering the letter that
corresponds with the description. After you've filled in all the answers, click on the puzzle pieces next to
the answer spaces to check your success, Print this page to save your answers,
Motobin
Answers
Answer:
B J F A C G I D H E
Explanation:
the one above is wrong
Treatment of mental disorders through verbal communication is:
a.managed care.
b.psychiatric rehabilitation.
c.psychopharmacology.
d.psychotherapy.
Answers
Treatment of mental disorders through verbal communication is psychotherapy.
Psychotherapy involves using verbal communication to help individuals with mental disorders identify and change negative thought patterns and behaviors that may be contributing to their symptoms. This form of treatment can be done in a one-on-one or group setting, and may include various techniques such as cognitive-behavioral therapy, dialectical behavior therapy, and interpersonal therapy. While medication may also be used to treat mental disorders, psychotherapy can be an effective standalone treatment or used in conjunction with medication.
This treatment approach differs from the others mentioned, as it primarily focuses on talking and understanding the individual's thoughts and feelings, rather than using medication or specific rehabilitation programs.
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the first class of drugs developed to treat aids, such as azt, were known as reverse transcriptase inhibitors. they worked because they .
Answers
The drug molecules bonded to the viral reverse transcriptase enzyme, thus preventing the virus from making a DNA copy of its RNA genome.
Drugs called reverse transcriptase inhibitors are used to treat and control HIV. The medicine belongs to the class of antiretrovirals. This exercise examines the benefits, side effects, and indications for RTIs as an effective HIV management tool (and other disorders when applicable). This activity will highlight the mechanism of action, adverse event profile, and other critical elements important for members of the interprofessional healthcare team in the management of patients with HIV and related conditions, such as off-label uses, dosing, pharmacodynamics, pharmacokinetics, monitoring, and relevant interactions.There are two subclasses of medications under the category of reverse transcriptase inhibitors. The first class of reverse transcriptase inhibitors are nucleoside/nucleotide inhibitors, and the second class is non-nucleoside inhibitors.
The FDA initially approved the nucleoside/nucleotide reverse transcriptase inhibitors (NRTIs) as the first class of antiretroviral medications. NRTIs are administered as prodrugs and must enter the host cell where they must be phosphorylated in order to function. Cellular kinases inside the host cell will then cause the medication to become active.
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What kind of medication treatment having parasite in the body
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Answer:
Treatment for parasites include creams and ointments used to eliminate them and treat the symptoms. Common drug classes used to treat parasitic infection are antiparasitics, nitroimidazole antibiotics, and pyrethroids.
Hope this helped have a nice day! :)
explain the public health approach for teenage pregnancy
Answers
At a strategic level, getting prevention right:
• is integral to safeguarding, emotional health and wellbeing and early help
• integrates with Chlamydia screening and STI prevention
• maximises cost effectiveness of se** and reproductive health services
• is key to giving every child the best start in life
• breaks inequalities
• helps address young people’s alcohol and substance misuse
• reduces future demand on health and social services
• contributes to Public Health and NHS Outcomes
Explanation:
Given above
what the difference is between adsorption and absorption? What are the word parts and their definitions in these terms?
Answers
Answer:
The process of a fluid being dissolved by a solid or liquid is known as absorption (absorbent). Atoms, ions, or molecules from a substance—which could be a gas, liquid, or dissolved solid—adhere to the surface of the adsorbent through the process of adsorption.
the parent of a 2-year-old toddler tells the nurse she needs to constantly scold the toddler for having wet pants. the parent says the toddler was potty trained at 12 months, but since starting to walk, the toddler wets the pants all the time. which nursing diagnosis would be most applicable?
Answers
The most appropriate nursing diagnosis for the issue parents are having with the toddler would be one of inadequate parental knowledge.
A 2-year-parent old's informs the nurse that she must repeatedly chastise the child for wearing wet pants. The parent claims that their child was potty trained at the age of one year, but since learning to walk, the child has soiled their pants constantly. The lack of parental information of improper methods for toilet training should be brought up by the parents.
Lack of relevant knowledge or the psychomotor skills required for maintaining, restoring, or promoting health are referred to as knowledge deficits. To manage toddlers that require additional care, knowledge is essential.
When a patient lacks the knowledge or cognitive capacity to comprehend the information required to carry out their healthcare plan, it is a nursing diagnostic known as a knowledge deficit.
Knowledge is a crucial indicator utilized in a typical treatment plan. It takes into account the patient's existing knowledge of key components of their therapy, such as nutritional requirements, side effects, and disease prevention, and fills in the gaps to enable the patient to lead a better life.
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iom report, a framework for educating health professionals to address the social determinants of health
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The IOM report "A Framework for Educating Health Professionals to Address the Social Determinants of Health" provides a comprehensive guide for training health professionals to understand and address the social factors that influence health outcomes.
The report recognizes that social determinants of health, such as socioeconomic status, education, and access to healthcare, play a significant role in shaping health disparities.Importance of addressing social determinants of health: The report emphasizes that improving health outcomes requires addressing the root causes of health disparities, which often lie in social and economic factors. By understanding and addressing social determinants of health, health professionals can contribute to reducing health inequities.
Integration of social determinants into health education: The report recommends integrating education on social determinants of health into the curricula of health professions. This includes incorporating topics such as health equity, cultural competency, and community engagement to equip health professionals with the knowledge and skills needed to address social collaboration: The report highlights the importance of collaboration between different healthcare professionals, as well as with other sectors such as education, housing, and social services. By working together, professionals from various fields can create a coordinated approach to address social determinants of health.
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Which member of the healthcare team is responsible for filling drug orders?
A. pharmacist
B. physician
C. RN
D. therapist
Answers
Answer:
Explanation:
Pharmacist i think
Answer:
A.Pharmacist
Explanation:
pharmacist, working in collaboration with other health care providers, undertake responsibility for patient outcomes with respect to their drug therapy. The principal task of the modern pharmacist is to identify, resolve and prevent drug-related problems.
You have a patient that has been suffering from an infectious disease for two years. The infection is characterized by fluctuating symptoms with acute symptoms that periodically resolve. Based on the information presented, which statement best describes this infection
Answers
Answer:
the patient must not have a functioning immune system
An infectious disease is caused by a virus or bacteria and can be communicable. The fluctuating symptom of the disease describes that the person is suffering from a viral infection. Thus, option d is correct.
What is a viral infection?
A viral infection is a disease caused by a virus that causes flu and common cold as common symptoms. Viruses are very different organisms and hijack the cellular and genetic mechanisms of the host cells.
Virus infections are characterized by infecting the immune system leading to the body being susceptible to other infections. It challenges the body by infecting again and again leading to fluctuating symptoms.
Therefore, option d. the viral infection is characterized by fluctuating and acute symptoms.
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Your question is incomplete, but most probably your full question was, You have a patient that has been suffering from an infectious disease for two years. The infection is characterized by fluctuating symptoms with acute symptoms that periodically resolve. Based on the information presented, which statement best describes this infection?
a. the long time course suggests that this is not an infectious disease
b. the patient must not have a functioning immune system
c. this infectious disease exhibits latency
d. this is a typical viral disease course
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Answers
Answer:
I am a free fire player and I am indian
What are examples of eye surgeries? Check all that apply.
•phacoemulsification
•corneal transplant
•Lasik
•cochlear implant
•otoplasty
•tympanoplasty
Answers
Answer:
LASIK surgery is the example of eye surgery..
hope it is helpful to you ☺️
what chemical directly supplies your muscles with energy?
Answers
Answer:
Adenosine triphosphate (ATP) is the chemical directly responsible for supplying energy to muscles.
Explanation:
A patient asks the nurse why dronedarone needs to be taken with food. The nurse responds knowing that bioavailability of dronedarone is at which level without food?.
Answers
Answer
the nurse should be a rested
Explanation:
because if the medicine must be taken with out food it have purpose because many medicine are taken by food or without food so if you have to take the medicine with out food take it
go to another doctor or hospital
summarize the article Perspectives on COVID-19 Vaccine by Iris
Borowy
Answers
The COVID-19 pandemic and the build-up to vaccination are discussed in the article "Perspectives on the COVID-19 Vaccine: Incredible Success Versus Incredible Failure" by Iris Borovi.
The author emphasizes that COVID-19 was one of the deadliest pandemics since the Spanish flu, yet unlike earlier pandemics, effective vaccinations were created in a surprisingly short amount of time. The article highlights the response to COVID-19 along with the emergence of multiple vaccinations globally. It covers issues including preventing epidemics, vaccination, medicine, nationalism, globalization, and commercialization. Vaccine globalism, vaccine nationalism, and the dynamics of vaccine commercialization are examined by the author, who also addresses the COVAX program.
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because infants and children have a greater body surface area relative to the mass of their body:
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Infants and children have a greater body surface area relative to their body mass due to their smaller size.
This increased surface area-to-mass ratio impacts various physiological processes. One significant effect is their higher metabolic rate compared to adults. This elevated metabolism helps infants and children maintain their body temperature and support rapid growth and development.
The larger body surface area allows for more efficient exchange of heat, moisture, and gases with the environment, aiding in thermoregulation and respiration. Additionally, the increased surface area facilitates greater absorption and elimination of nutrients, medications, and toxins, which can affect drug dosing and susceptibility to environmental exposures.
Understanding the unique physiology of infants and children is crucial for appropriate medical care, dosage adjustments, and consideration of environmental factors that may affect their health and well-being.
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People can respond to the same situation or the same care with different positive or negative psychological responses. One factor that can play a large role in someone’s response is
the cultural attitude.
the situation.
the care given.
the nursing assistant.
Answers
Which nursing’s actions are appropriate to the roles/responsibilities of the LPN/LVN?
Answers
Answer:
Uses active listening techniques when in- teracting with a depressed patient 2. Reports changes in vital signs to the health care provider in a timely fashion 3. Takes initiative to create a comprehensive care plan for a newly admitted patient 4. Ensures that the correct medication is giv- en to the correct patient at the correct time 5. Collects data from the patient, the family, and previous medical records
Canadian individual or group medical insurance plans typically cover which of the following?
Answers
Answer:
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