an older adult returns to the orthopedic unit after an open reduction, internal fixation surgery for a fractured hip. upon admission, she is combative and screaming profane language. what is the nurse's first action?

Answers

Answer 1

Based on the given situation, an older adult has returned to the orthopedic unit after an open reduction, internal fixation surgery for a fractured hip and is displaying combative behavior and using profane language. The nurse's first action should be:

1. Ensure the patient's safety: The nurse should quickly assess the patient's immediate environment for any potential hazards or risks, and ensure that the patient is safe from harm.

2. Assess the patient's level of pain and discomfort: The patient's behavior might be a result of uncontrolled pain or discomfort. The nurse should evaluate the patient's pain using an appropriate pain assessment tool, and administer prescribed pain medication if needed.

3. Evaluate for underlying causes: The nurse should consider any other factors that may be contributing to the patient's behavior, such as postoperative complications, medication side effects, or delirium. If any concerns arise, the nurse should notify the healthcare provider for further evaluation and intervention.

4. Provide reassurance and support: Once the patient's safety, pain, and any underlying issues have been addressed, the nurse should provide emotional support and reassurance to the patient, explaining the situation and any interventions taken to help them feel more at ease.

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Related Questions

Darla Huntley, RMA, works in a pulmonology practice. She has been instructed to schedule Betty Robinson for a spirometry within one week. Ms. Robinson has never had one before. After the procedure is scheduled, what information should Darla provide Ms. Robinson to ensure that she is prepared on the day of her test? Under what health-related circumstances would Darla need to reschedule the test for Ms. Robinson? How many maneuvers must be completed for Ms. Robinson's PFT to be considered successful on the day of her testing?

Answers

Answer:

Darla should tell Ms. Robinson that spirometry is a simple test for figuring out how well the lungs work. During the test, the patient will be asked to take a deep breath and then blow as hard as they can into a mouthpiece connected to a spirometer. The spirometer will measure how much air the patient can blow out of their lungs and how fast they can do it.

Advice on medication: Darla should tell Ms. Robinson that she shouldn't use any bronchodilator inhalers, like albuterol, for four to six hours before the test.

Darla should tell Ms. Robinson when to expect her at the test and how long the test is likely to last.

Wear clothes that are comfortable. Darla should tell Ms. Robinson to wear clothes that are comfortable and won't make it hard for her to breathe.

Darla might have to reschedule Ms. Robinson's test if something goes wrong with her health. For example, if Ms. Robinson has recently had chest surgery, a heart attack, or a stroke, Darla may need to reschedule the test to avoid any possible health risks.

For Ms. Robinson's spirometry test to be successful, she must do at least three things that give acceptable and repeatable results. If Ms. Robinson can't do three maneuvers, Darla may have to reschedule the test to make sure the results are correct.

Major source:

American Thoracic Society/European Respiratory Society. (2005). ATS/ERS statement on respiratory muscle testing. American Journal of Respiratory and Critical Care Medicine, 171(8), 866-878. doi: 10.1164/rccm.200401-044ST

what do nurses need to know about iv fluids?

Answers

Nurses need to know several essential aspects of IV fluids to ensure proper administration and patient care such as the types of IV fluids, an indication of use, choosing the appropriate IV, proper insertion, and maintenance.



1. Types of IV fluids: Nurses should be familiar with the two main types of IV fluids: crystalloids and colloids. Crystalloids are water-based solutions containing electrolytes and glucose, while colloids contain larger molecules, such as gelatin or albumin.
2. Indications for use: Nurses need to understand the reasons for administering IV fluids, such as dehydration, electrolyte imbalances, or as a vehicle for medication delivery.
3. Choosing the appropriate IV fluid: Based on the patient's condition and clinical needs, nurses should be able to select the right type of IV fluid, such as isotonic, hypertonic, or hypotonic solutions.
4. Proper insertion and maintenance of IV lines: Nurses should be well-versed in sterile technique and correct procedures for inserting and maintaining IV lines to minimize the risk of infection and ensure the best possible patient outcomes.


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Since im studying animals (im training to be a vet) what is the most fragile part of a dogs body?

Answers

Probably their muzzle.


Suppose that a survey conducted in 2020 indicated that 7% of
healthcare users said that N95 masks would not be enough to protect
from COVID. Is there evidence that the proportion of healthcare who
sai

Answers

Based on a survey conducted in 2020, 7% of healthcare users expressed the belief that N95 masks would not provide sufficient protection against COVID-19.

To determine if there is evidence to support the proportion of healthcare workers who stated that N95 masks would not be enough to protect against COVID-19, further analysis is needed. The survey conducted in 2020 provides a snapshot of the opinions at that time, but it may not represent the current beliefs among healthcare workers. Factors such as updated guidelines, scientific research, and evolving knowledge about the virus may have influenced opinions since then.

To obtain a more accurate assessment of the current proportion, a new survey or study would be required. This would involve collecting data from a representative sample of healthcare workers and assessing their beliefs regarding N95 masks and their effectiveness against COVID-19. Statistical analysis could then be performed to determine the proportion and assess whether it differs significantly from the previous survey's findings.

In conclusion, while the survey conducted in 2020 indicated that 7% of healthcare users expressed doubts about the effectiveness of N95 masks, further investigation would be necessary to determine the current proportion among healthcare workers. Obtaining updated data through a new survey or study would provide a more accurate understanding of the prevailing beliefs and opinions within this population.

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what is a brain tumer​

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A brain tumour is a growth in your brain. It can be non-cancerous or cancerous . The cause of most brain tumours is unknown. Things that increase your chance of getting a tumour include getting older or being exposed to radiation.

What is the name of the medical condition of an asthmatic patient with a blood pH of 7.30?
Select one:
a. metabolic alkalosis
b. respiratory alkalosis
c. respiratory acidosis
d. metabolic acidosis
e. diabetes mellitus

Answers

The name of the medical condition of an asthmatic patient with a blood pH of 7.30 is : c. respiratory acidosis

What is respiratory acidosis?

Respiratory acidosis is a condition that occurs when lungs can not remove all the carbon dioxide produced by body. This causes blood and other body fluids to become too acidic. Respiratory acidosis symptoms are : confusion, fatigue, lethargy, shortness of breath and sleepiness.

Respiratory acidosis is acid-base balance disturbance due to alveolar hypoventilation. Production of carbon dioxide happens rapidly and failure of ventilation increases the partial pressure of arterial carbon dioxide (PaCO2). Normal reference range for PaCO2 is about 35-45 mm Hg.

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What is a novel coronavirus?

Answers

Answer:

A novel coronavirus is a new coronavirus that has not been previously identified.

Explanation:

the chandra x-ray observatory has detected x rays from a star system that contains a main-sequence star of spectral type b6. the x-ray emission is strong and fairly steady, and no sudden bursts have been observed. which of the following statements are reasonable conclusions about this system?

Answers

Both a neutron star and a black hole are orbited by the main-sequence star. An accretion disc is created around another object by the main-sequence star's gas.

(Since the pair of main-sequence stars in the system is an X-ray binary, they might either be neutron stars or black holes as companions. The heated accretion disc of gas, which the compact object's gravity is pushing away from the main-sequence star, is where the X rays originate.) A neutron star is the collapsing core of a large supergiant star with a total mass of 10 to 25 solar masses, possibly even more if the star was particularly metal-rich. Other than black holes and certain fictitious items (e.g. white holes, quark stars, and strange stars).

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The complete question is -

The Chandra X-Ray Observatory has detected X rays from a star system that contains a main-sequence star of spectral type B6. The X-ray emission is strong and fairly steady, and no sudden bursts have been observed. Which of the following statements are reasonable conclusions about this system? The main-sequence star orbits either a white dwarf or a neutron star. Some time in the next few decades, this system will undergo a nova explosion. The main-sequence star must orbit a neutron star.

Which of the following studies would need irb approval

Answers

What are the options?

Throughout the pregnancy, as the uterus enlarges and stretches, the uterine ____________ prepares itself for uterine contractions. In the later stages of pregnancy, the increasing levels of ____________ counteract the calming influence of ____________ on the uterine myometrium, and ____________ the uterine myometrium sensitivity.

Answers

During pregnancy, MYOMETRUM prepares for contractions. In the later stages, increasing levels of ESTROGEN counteract PROGESTERONE on the myometrium and INCREASE its sensitivity. Estrogen is a sex hormone.

Estrogen and progesterone are the main sex hormones that women have.

A woman produces a high level of estrogen during pregnancy in order to improve vascularization of the uterus and placenta.

This hormone (estrogen) promotes the production of receptors for oxytocin hormone in the myometrium.

Estrogen plays a fundamental role in expanding the myometrium during pregnancy and the contractile response before and during labor pregnancy.

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Critically analyse the impact of Covid-19 in developing
countries and How covid-19 affacted their economy.Give 5 points and
analyse each points.

Answers

The impact of Covid-19 in developing countries has been significant, affecting their economies in multiple ways.

What are the key ways in which Covid-19 has impacted the economies of developing countries?

The Covid-19 pandemic has had profound economic consequences for developing countries. Here are five key points highlighting the impact:

1. Economic contraction: Many developing countries experienced a sharp economic downturn due to lockdowns, reduced economic activity, and disrupted global supply chains. This led to a decline in GDP growth rates and negative impacts on various sectors such as tourism, manufacturing, and trade.

2. Increased poverty and inequality: The pandemic exacerbated existing social and economic disparities, pushing more people into poverty and widening income inequalities. Vulnerable populations, including informal workers and those in the informal sector, faced job losses, reduced incomes, and limited access to social safety nets.

3. Disruptions in trade and remittances: Developing countries heavily reliant on exports and remittances faced challenges as global trade contracted and remittances from abroad declined. Restrictions on travel and disruptions in logistics disrupted supply chains, impacting export-oriented industries and reducing foreign exchange earnings.

4. Fiscal challenges: Governments in developing countries faced fiscal strain as they grappled with increased healthcare expenditures, implementing social protection measures, and addressing economic challenges. Reduced tax revenues and increased public spending led to budget deficits and a higher debt burden.

5. Reduced investment and financing gaps: The pandemic led to a decline in foreign direct investment (FDI) and limited access to financing for development projects. Investors became more risk-averse, diverting funds away from developing countries, leading to reduced investment in critical sectors like infrastructure and healthcare.

These points demonstrate the wide-ranging economic repercussions of the Covid-19 pandemic on developing countries, highlighting the need for targeted support and interventions to mitigate the impact and foster recovery.

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How does the stomach virus spread? I been 4 ft away from a infected person. But no contact with vomit. should I be fine?

Answers

Answer:

It depends on what type of virus it is but you should be fine as long  as you didn't make contact with them like using the same spoons or forks and stuff like that if its one of those viruses but some of them can be air born

Explanation:

It depends on which type of virus I hope it helps you

Antibiotic treatment of infection with the bacteria _______________ heals some stomach ulcers and prevents their recurrence.

Answers

Antibiotic treatment of infection with the bacteria Helicobacter pylori heals some stomach ulcers and prevents their recurrence.

If the source of your stomach ulcer is a bacterial infection called Helicobacter pylori (H. pylori), it is recommended that you take a course of antibiotic together with a medication called a proton pump inhibitor (PPI). This is also suggested if it is thought that your stomach ulcer and a H are connected. taking inflammatory medication when having a pylori infection (NSAIDs). If taking NSAIDs was the only factor in the development of your stomach ulcer, a course of PPI medication is indicated. PPIs may occasionally be substituted with H2-receptor antagonists, a separate class of medication. You may occasionally be administered an extra medication called an antacid to treat your symptoms short-term. You might have a second gastroscopy in 4 to 6 weeks to be sure the ulcer has healed. There are no specific lifestyle changes you need to make while in therapy, but reducing stress, alcohol, spicy foods, and smoking may make you feel better as your ulcer heals.

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a hospital educator has been commissioned with investigating evidence regarding the use of physical restraints. how should the nurse approach publication data parameters for this search? question 2 options: a) the nurse should establish a cutoff for sources more than 5 years old. b) the nurse should attempt to identify collaborative evidence for any source that is more than 3 years old. c) the nurse should prioritize the quality and comprehensiveness of the evidence over its date of publication. d) articles should be ranked according to publication date, with the most recent articles being prioritized.

Answers

c) the nurse should prioritize the quality and comprehensiveness of the evidence over its date of publication.

What is a literature review?

A literature review is an evaluative report of information found in the literature related to your selected area of study. The purpose is to provide a comprehensive overview of significant published works, analyze patterns, inconsistencies, gaps in research, and identify areas for future research.

It helps in understanding the current state of knowledge on a topic and provides a framework for the research study.

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pomies
(03.02 MC)
You are helping your family make better grocery shopping choices. Which
A. new grocery store your family hasn't heard of before
B. A popular local market that is well established
C. small market that needs more customers to stay open
D. A food truck that sells expensive pastries and sandwiches​

Answers

Answer:

B

Explanation:

Better to shop where you know and be sure you'll get the best quality no matter how the market looks like

The answer should be B. A popular local market that is well established

according to the tuskegee lecture, the role of nurse rivers was important because:

Answers

According to the Tuskegee lecture, the role of Nurse Rivers was important because she was instrumental in recruiting participants for the Tuskegee Syphilis Study

The Tuskegee syphilis study was a notorious and unethical medical research study conducted by the United States Public Health Service (USPHS) from 1932 to 1972. The study took place in Tuskegee, Alabama, and targeted African American men who had syphilis. Its purpose was to observe the natural progression of the disease over time.

The study involved 600 African American men, 399 of whom had already contracted syphilis, while 201 did not have the disease (they served as a control group). Tragically, the men were not informed of their diagnosis and were instead told they were receiving free medical treatment for "bad blood." In reality, the researchers did not provide them with adequate medical care, even after the discovery of penicillin as a treatment for syphilis in the 1940s.

According to the Tuskegee lecture, the role of Nurse Rivers was important because she was instrumental in recruiting participants for the Tuskegee Syphilis Study, a unethical and inhumane experiment conducted on African American men. Nurse Rivers gained the trust of the participants and their families, which allowed for their continued participation in the study despite the harm it caused. Despite her involvement in the study, Nurse Rivers also served as a dedicated healthcare provider for the African American community in Tuskegee.

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Policies and procedures have been developed and implemented based on your organization’s?

Answers

Answer:

A policy is a set of general guidelines that outline the organization's plan for tackling an issue. Policies communicate the connection between the organization's vision and values and its day-to-day operations. A procedure explains a specific action plan for carrying out a policy.

Please give me brainliest -  you get 25% as well! I swear!

What are the "posterior poles of the eyes"?

Answers

The posterior pole, which in ophthalmology refers to the retinal tissue between the macula and the optic disc, is the term used to describe the rear of the eye.

What is posterior pole?

Roth spots are symptoms of systemic sickness, and the patient's vital signs as well as general hemodynamic stability should be evaluated. Roth spots occur on fundoscopic examination as circular flame-shaped hemorrhages with a white/pale core (varying in size), most usually in the posterior pole.

White-centered hemorrhages known as 'Roth spots' are caused by retinal capillary rupture and entire blood ejection. This is followed by platelet adherence to the injured endothelium, which initiates a coagulation cascade and the creation of a platelet-fibrin thrombus in the center of the bleeding.

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Healthcare systems are working to improve care, reduce expenses, and improve the patient experience. The process of identifying, prioritizing, and implementing changes can be done right with the right tools, process, and people.
In this assignment, you will write an essay about the quality in healthcare. The minimum length requirement is 500 words. Respond to the following:
1. Give your definition of quality in healthcare. What are the characteristics of high quality healthcare?
2. Give an example of an approach to improve quality.
3. Why is quality in healthcare important? Provide evidence to support your opinion.
Please cite all your sources. Thank you.

Answers

This assignment discusses the concept of quality in healthcare, including its definition, characteristics of high-quality healthcare, an example of an approach to improve quality, and the importance of quality in healthcare.

To complete the assignment, "Quality in Healthcare," you can follow these steps:

1. Introduction:

a. Introduce the topic of quality in healthcare and its significance in improving care, reducing expenses, and enhancing the patient experience.

b. Provide a brief overview of the purpose of the essay and the structure of the response.

2. Definition of quality in healthcare:

a. Present your own definition of quality in healthcare.

a.biscuss the various dimensions and characteristics that contribute to high-quality healthcare.

c. Include factors such as patient safety, effectiveness of treatment, patient-centeredness, timeliness, efficiency, and equity.

3. Example of an approach to improve quality:

a. Provide an example of a specific approach or methodology that has been used to improve quality in healthcare.

b. Describe the approach in detail, including its key components and how it addresses the identified dimensions of quality.

c. Discuss any evidence or research that supports the effectiveness of the approach in achieving quality improvement.

4. Importance of quality in healthcare:

a. Explain why quality in healthcare is crucial and its impact on various stakeholders.

b. Discuss the benefits of high-quality healthcare, such as improved patient outcomes, enhanced patient satisfaction, reduced healthcare costs, and increased efficiency.

c. Support your claims with evidence from reputable sources, including studies, reports, or expert opinions.

5. Conclusion:

a. Summarize the key points discussed in the essay.

b. Reinforce the importance of quality in healthcare and its role in achieving the desired goals of healthcare systems.

c. Emphasize the need for ongoing efforts to identify, prioritize, and implement changes that enhance the quality of care.

6. Citations:

a. Ensure that all sources used in the essay are properly cited.

b. Follow the appropriate citation style (e.g., APA, MLA) and provide in-text citations as well as a reference list or bibliography.

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What are stimulants such as Ritalin or Adderall commonly prescribed to treat? To create attention-deficit/hyperactivity disorder (ADHD).

Answers

Attention-deficit/hyperactivity disorder (ADHD) is often treated with stimulants like Ritalin or Adderall. These medications raise the levels of specific neurotransmitters, including dopamine, in the brain.

By doing so, they can enhance focus and attention while reducing hyperactivity and impulsivity. Stimulants may also be used for sleep disorders like narcolepsy.

However, it is crucial to remember that these drugs can have adverse effects and must be used under the supervision of a qualified healthcare provider.

Therefore, it is important to weigh the potential risks and benefits before using these medications.

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Fibers and Glucagon are complex carbohydrates

True or false?

Answers

Answer:

True

Explanation:

I had this same question and i got 100% my answer was true :)

Carbohydrate is a class of food which when digested is broken down into glucose.

It is true that Fibers and Glucagon are complex carbohydrates

Complex carbohydrate are mainly healthy Carbohydrate which contains vitamins, minerals and fiber. They do not cause increase in blood sugar.

Simple carbohydrates on the other hand, causes diabetes, high blood pressure, and heart disease.

Fiber is an example of a complex carbohydrates which are gotten from plants. It helps to regulate blood sugar level and cholesterol.

Glucagon is an hormone which works with other hormones in the body to regulate blood sugar level.

Therefore, it is true that Fibers and Glucagon are complex carbohydrates.

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Migraine headaches are most closely linked with an: Group of answer choices undersupply of serotonin. undersupply of acetylcholine. oversupply of GABA. oversupply of glutamate.

Answers

Answer:

Serotonin is thought to be the underlying neurotransmitter involved in migraine, based on a lower than normal level of serotonin (5-HT) which increases during attacks.

which hose appliance is used to divide one hose line into two separate hose lines of equal or smaller size?

Answers

The hose appliance used to divide one hose line into two separate hose lines of equal or smaller size is called a hose wye.

A hose wye is a specialized fitting that has one inlet and two outlets. It is designed to split the flow of water or other fluids from a single source into two separate streams.

The hose wye is commonly used in firefighting operations or other situations where multiple hoses are needed for simultaneous use. By connecting the hose wye to the main hose line, it allows firefighters or other users to divide the water supply and extend the reach of the hose lines.

Hose wyes are available in various sizes to accommodate different hose diameters. They are typically made of durable materials such as brass or aluminum to withstand the demands of firefighting or other high-pressure applications. The connections are often threaded to ensure a secure and leak-free connection.

It is important to note that using a hose wye may reduce the water flow and pressure in each of the divided lines compared to the main hose line. Therefore, it is crucial to consider the capacity and limitations of the water supply system when utilizing hose wyes to ensure adequate water flow for the intended purposes.

Overall, the hose wye is a valuable tool that allows firefighters and other professionals to effectively divide a single hose line into multiple lines, increasing their operational capabilities during emergency situations.

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a diabetic client is to eat 60 g carbohydrate at lunch. he can do this with: group of answer choices 1 c 2% milk, 1 c cooked broccoli, 1/2 bagel 1 c mashed potatoes, 1 c cranberry juice cocktail 2 slices bread, 1/2 c corn, 1/2 kiwi 1 hamburger bun, 1/3 c baked beans, 12 cherries

Answers

The diabetic client can eat 1 c 2% milk, 1 c cooked broccoli, and 1/2 a bagel.

What is diabetes?
A group of illnesses known as diabetes mellitus affect how the body utilises blood sugar (glucose). The cells that comprise the muscles as well as tissues rely heavily on glucose as a source of energy. It serves as the primary fuel for the brain. Each type of diabetes has a different primary cause. However, diabetes can result in an excess of sugar in the blood regardless of the type you have. Serious health issues can result from an excess of sugar in the blood. Type 2 diabetes . type 2 diabetes are chronic diabetes conditions. Diabetes conditions like gestational diabetes and prediabetes may be reversible. When blood sugar levels seem to be higher than usual, prediabetes develops. However, the blood sugar levels really aren't elevated enough to be classified as diabetes. Additionally, if no preventative measures are taken, prediabetes can progress to diabetes.

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Contraindication in appendidectomy

Answers

Certain contraindications exist for laparoscopic appendectomy, including extensive adhesions, radiation, or immunosuppressive therapy, severe portal hypertension coagulopathies. Laparoscopic appendectomy is contraindicated in the first trimester of pregnancy. Hope this answers/helps

What are morbidity and mortality, and how are they involved in the more traditional definitions of health?

Answers

Morbidity is another term for illness. If an illness continues it may increase your risk of mortality(death).

a measure of health status that attempts to gauge the social impact of various diseases and conditions by adjusting for differences in the age of the population affected is:

Answers

The social impact of various diseases by adjusting for differences in the age of the population affected in years of potential life lost.

Diseases are aberrant conditions that specifically harm an organism's structure or function, either entirely or partially, without being immediately brought on by any external stimulus. Medical illnesses with observable signs and symptoms are known as diseases. Sickness can be brought on by either internal issues or external influences like infections.

For example, problems with the internal immune system can cause a wide range of illnesses, such as different immunodeficiency types, hypersensitivity, allergies, and autoimmune diseases.

Additional illness categories include infectious and non-contagious diseases. The three most fatal illnesses that impact people are lower respiratory infections, cerebrovascular disease, and coronary artery disease (blood flow restriction).

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why do action potentials often travel in only one direction?

Answers

Action potentials often travel in only one direction because of the refractory period.

The action potential is an electrical signal generated by cells in the body in response to a stimulus. It is created when the cell is depolarized and ions flow in and out of the cell, creating an electrical impulse that is transmitted along the cell membrane.

During the refractory period, the sodium channels are inactive and unable to open. This prevents the action potential from moving backward and ensures that it only travels in one direction. Additionally, the potassium channels are still open during the refractory period, which helps to repolarize the membrane and prepare it for the next action potential.

Overall, the refractory period is essential for ensuring that action potentials travel in only one direction and do not overlap with each other.

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Which of the following is NOT included as an objective in a Psychological Health and Safety management system? Multiple Choice: a. Identification of psychological hazards b. Promotion of psychological health. c. Control of risks that cannot be eliminated d. Recognition and reward.

Answers

Among the following choices, the objective that is NOT included in a Psychological Health and Safety management system is Recognition and reward. Thus, the correct answer is Option D.

Psychological Health and Safety refer to the idea of taking a strategic and systematic approach to address employees' mental health issues, concerns, and well-being. Psychological Health and Safety Management System (PHSMS) is a set of practices that helps organizations to develop policies and practices to provide a safe and healthy work environment.

The following are the objectives of a Psychological Health and Safety management system:

Identification of psychological hazards: A PHSMS aims to identify and assess all the psychological hazards that employees may face in the workplace, such as workplace stress, harassment, etc.Promotion of psychological health: The promotion of mental health in the workplace includes raising awareness of mental health issues, providing support, and offering training to employees to manage stress and cope with workplace challenges.Control of risks that cannot be eliminated: PHSMS aims to prevent harm to employees' mental health by taking all necessary measures to control the risks that cannot be eliminated.Recognition and reward: Though it's a crucial element, recognition and reward is not considered an objective of PHSMS. Instead, it is part of a broader effort to promote psychological health and well-being in the workplace.

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The instructions States inhale 1 to 2 MDI Puffs 90 to 180 mcg every 4 to 6 hours how many mcg are needed to fill this prescription per day

Answers

Answer:

The instructions States inhale 1 to 2 MDI Puffs 90 to 180 mcg every 4 to 6 hours

Explanation:

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