A 75-year-old male with long-standing hypertension and angina due to coronary heart disease presents with ankle edema, nocturia, increased shortness of breath with activity, and a chronic nonproductive cough. He has a past history of smoking two packs per day and is an ex-alcoholic. His blood pressure is 170/80 and his heart rate is 100. Electrocardiography and chest radiography indicate the presence of left ventricular hypertrophy.

A. Relate the presence of uncontrolled hypertension and coronary artery disease to the development of heart failure in this man.

B. Explain the significance of left ventricular hypertrophy in terms of both a compensatory mechanism and as a pathologic mechanism in the progression of heart failure.

C. Explain the management and treatment for this diagnosis.

Answers

Answer 1

Hypertension or high blood pressure is a common disease that leads to heart diseases. Hypertension and CAD lead to heart diseases as they narrow the vessels and weaken the cardiac muscles.

What is heart failure?

Heart failure is a disease condition that is caused by weakened muscles that hinder the function of the heart to pump the blood to the blood efficiently.

Uncontrolled hypertension narrows the vessels that block the blood flow and CAD on other hand weakens the cardiac muscles that do not allow the heart to pump blood and hence resulting in heart failure.

Left ventricular hypertrophy and heart failure can be avoided if hypertension is treated as LVH is a response towards the high blood pressure that affects the myocardial structure. If LVH is not treated then it may lead to systolic heart failure.

This disease or symptoms can be managed by reducing the salt content in the diet so that fluid retention is reduced. Diuretics like thiazides are used in the treatment to balance the venous pressure and blood volume and hence the edema is reduced.

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Related Questions

The definition of empowerment in terms of cultural is: “Increasing the ability or opportunity of patients and their families to be in control of their health, spiritual, political, social, and/or economic destinies”

Answers

The statement "The definition of empowerment in terms of culture is increasing the ability or opportunity of patients and their families to be in control of their health, spiritual, political, social, and/or economic destinies” is definitely true.

What is Empowerment?

Empowerment may be defined as the process of giving some authority or control to someone for doing the betterment of an individual irrespective of their color, caste, religion, etc.

Empowerment makes the individual live for humanity rather than self benefits. Empowerment overall constructs the people in the same line of opportunities related to the patient's health, spiritual, political, social, and economic destinies.

It somehow reduces the perception of partiality in the culture to a major extent.

The complete question is as follows:

The definition of empowerment in terms of culture is: “Increasing the ability or opportunity of patients and their families to be in control of their health, spiritual, political, social, and/or economic destinies” True or False.

Therefore, it is well described above.

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Health issues can be addressed in part by the ________ made by doctors and researchers that can help people live longer, healthier lives.

Answers

Health issues can be addressed in part by the medical advances made by doctors and researchers that can help people live longer, healthier lives.

What is health?

It should be noted that health simply means a physical, mental, and social well being of an individual.

In this case, health issues can be addressed in part by the medical advances made by doctors and researchers that can help people live longer, healthier lives.

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adjustment disorder treatment medication

Answers

Answer:

Medications are used to lessen some of the symptoms of adjustment disorders, such as insomnia, depression, and anxiety. These medications include: benzodiazepines, such as lorazepam (Ativan) and alprazolam (Xanax) nonbenzodiazepine anxiolytics, such as gabapentin (Neurontin)

Symptoms: Depression (mood); Anxiety

The drugs that could be used to treat adjustment disorder are lorazepam and  alprazolam.

What is adjustment disorder?

The term adjustment disorder refers to a condition that is induced by stress which could lead to certain severe problems such a breakdown in relationships.

As such, some of the drugs that could be used to treat adjustment disorder are lorazepam and  alprazolam.

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which statement by breast-feeding mother indicates that the nurse's teaching regarding stimulating the let-down

Answers

I will apply warm packs and massage my breasts before each feeding

What is breast feeding?

The term breastfeeding refers to the process by which a woman allows her baby to suck out the breast milk by putting the baby to the breast. This occurs immediately lactation commences.

The statement that indicates that the nurse's teaching regarding stimulating the let-down reflex has been successful is; "I will apply warm packs and massage my breasts before each feeding".

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A 16-year-old girl who severely restricts her food intake because she is fearful of becoming obese, even though her BMI is less than expected for her age, may be diagnosed with

Answers

According to the research, she is fearful of becoming obese and her BMI is low by these signs she may be diagnosed with anorexia nervosa.

What is anorexia nervosa?

It is a disease characterized by self-induced weight loss, that is, weight loss is caused by the patient herself through a decrease in food intake.

It is considered an eating behavior disorder due to the restriction of food intake, which leads to considerable weight loss that remains below the minimum expected for age.

Therefore, we can conclude that according to the research, she is fearful of becoming obese and her BMI is low by these signs she may be diagnosed with anorexia nervosa.

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The overall condition of body or mind and the presence or absence of illness and injury is called Blank______. Multiple choice question. physique health vitality environment

Answers

The overall condition of body or mind and the presence or absence of illness and injury is called health, which is the second option.

What is health?

Health is the state of being free from physical or psychological disease, illness, or malfunction.

It encompasses physical, mental and social wellbeing of an individual.

Therefore, it can be said that health is the overall condition of body or mind and the presence or absence of illness and injury.

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Vitamin _____ may be prescribed above the DRI for some children with spina bifida who have frequent bladder infections

Answers

VitaminC may be prescribed above the DRI for some children with spina bifida who have frequent bladder infections.

What is Spina bifida?

Spina bifida and anencephaly are examples of neural tube defects.

Women who have had a pregnancy resulting in the birth of an infant with a neural tube defect are being urged to take supplements of folic acid before a second conception to decrease the risk of these birth defects.

Thus, VitaminC is the answer.

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The study of the effects of drugs on the mind and brain is:
A. transcranial magnetic stimulation therapy.
B. electroconvulsive therapy.
C. psychopharmacology.
D. psychotherapy.
Ask my instructor

Answers

Answer:

c - psychopharmacology

Explanation:

psychopharmacology

Marion is going to the hospital for a triple bypass operation. she will have general anesthesia, an intravenous catheter, surgical wounds, and a urinary catheter. which healthcare-associated infection is she at greatest risk for contracting

Answers

Marion is at greatest risk for contracting the healthcare-associated infection called nosocomial infections.

What are nosocomial infections?

Nosocomial infections are those infections that a patient contracts due to the toxins or microorganisms that are existing in the hospital environment different from the one that formerly affected them.

The predisposing factors to nosocomial infections are:

general anesthesia,

an intravenous catheter,

surgical wounds, and

a urinary catheter.

Because Marion is subjected to the above mentioned factors, he is at greatest risk for contracting the healthcare-associated infection called nosocomial infections.

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__________ is a condition caused when abnormal dilations or pouches in the intestinal wall become inflamed. treatments include following a high-fiber diet, taking antibiotics, and keeping a food diary to track foods that cause flare-ups.

Answers

Diverticulitis occurs when pouches protrude from the colon's wall and become infected and inflamed.

What are the symptoms of Diverticulitis?

Over time, the inflammation can cause a bowel obstruction, resulting in constipation, thin stools, diarrhea, bloating, and abdominal pain.

Diverticular disease and diverticulitis symptoms include: constant, severe tummy pain; a high temperature; and diarrhoea or constipation.

Thus, Diverticulitis occurs when pouches protrude from the colon's wall and become infected and inflamed.

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Two problems encountered in human health risk assessment are _______________________ and ___________________.

Answers

The problems encountered in human health risk assessment are the exploration of data to low doses and extrapolation of data from non-human species to humans.

What is human health risk assessment?

It should be noted that human health risk assessment is the measured exposure level to the health of an individual.

In this case, the problems encountered in human health risk assessment are the exploration of data to low doses and extrapolation of data from non-human species to humans.

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_____ is given to an infant between one to two months of age.

Answers

Hep B is given to an infant between one to two months of age.

What is Hepatitis B vaccine?

Hepatitis B vaccine is a substance that is injected into infants to help to prevent hepatitis diseases in infants because it help prevent liver infection.

Therefore, Hep B is given to an infant between one to two months of age.

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which is the maximum volume of an intramuscular injection recommended for a preschool-aged child

Answers

The maximum volume of an intramuscular injection recommended for a preschool-aged child is: 0.5 - 1 mL

Meaning of intramuscular injection

intramuscular injection can be defined as a process by which drugs are administered into the muscles for absorption into the blood to take place faster.

intramuscular injection is very effective when the drugs administered needs to take effect quickly

In conclusion, The maximum volume of an intramuscular injection recommended for a preschool-aged child is: 0.5 - 1 mL

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The maximum volume of an intramuscular injection recommended for a preschool-aged child ranges from 0.5 - 1.0 mL.

What is Intramuscular injection?

Intramuscular injection may be defined as a procedure operated to furnish a medication in-depth into the muscles. This approach allows the injected medication to be enthralled into the bloodstream directly.

For a preschool-aged child, no more than 1.0 mL of intramuscular injection is recommended because of the lack of ability to acclimate to specific treatment and causes some deformity.

Therefore, it is well described above.

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Difference between male and female pelvis

Answers

Answer:

The male pelvis is thicker and heavy while the females pelvis is thinner and lighter in weight.

Explanation:

Hope this helps :)

Answer:

male is thicker and heavy

Ultrasound examination reveals a 2 cm discrete solid thyroid nodule in lower pole of thyroid but there are a few smaller nodules scattered throughout the gland, suggestive of mild multinodular goitre.

Answers

Answer:

A diagnosis of cancer was made in 10.5% of nodules measuring 1 – 1.9 cm. The risk of cancer increased to 15% of nodules greater than 2 cm. In nodules that were larger than this 2 cm threshold, the cancer risk was unchanged.

Explanation:

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The nurse observes that a client with a potential for violence is agitated, pacing up and down in the hallway, and making aggressive and belligerent gestures at other clients. Which statement is appropriate to make to this client

Answers

The statement that is appropriate to make to this client is "You seem restless, tell me what is happening".

Who is a nurse?

It should be noted that a nurse is an individual who takes care of the sick people in a hospital.

In this case, the statement that is appropriate to make to this client is "You seem restless, tell me what is happening".

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When the body mass index rises above the threshold of ____ kg/m2, mortality from heart disease, cancer, and diabetes also increases.

Answers

When the body mass index rises above the threshold of 35 kg/m2, mortality from heart disease, cancer, and diabetes also increases.

What does BMI of 35 kg/m2 indicate?

BMI of 35 kg/m2 indicates that the person is obese. This BMI has more chances of mortality from heart disease, cancer, and diabetes because of the very large weight of the person.

So we can conclude that When the body mass index rises above the threshold of 35 kg/m2, mortality from heart disease, cancer, and diabetes also increases.

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Mrs. Shields is covered by original medicare. She sustained a hip fracture and is being successfully treated for that condition. However, she and her physicians feel that after her lengthy hospital stay she will need a month or two of nursing and rehabilitative care. What should you tell them about original medicare’s coverage of care in a skilled nursing facility?.

Answers

Medicare will cover Mrs. Schmidt's skilled nursing services provided during the first 20 days of her stay, after which she would have a coinsurance until she has been in the facility for 100 days.

What is coinsurance?

Coinsurance, which normally applies after your deductible has been met, is a portion of a medical payment that you are responsible for paying. Your health insurance plan will cover the remaining amount. For instance, if your coinsurance is 20%, you would be responsible for paying 20% of each medical cost, with your health insurance covering the remaining 80%.

The following home health care services are covered in full by Medicare: part-time skilled nursing care, typically provided in a plan with two to three visits each week.

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in which location would the doppler ultrasound transducer be placed to best auscultate fetal heart tones when the fetus is in the right occiput posterior (ROP) position

Answers

The left part of the maternal abdomen is the location where ultrasound transducer be placed to best auscultate fetal heart tones.

What is Right occiput posterior position?

This position involves the baby facing forward which is to the left of the mother's body.

The doppler ultrasound transducer should be placed on the left abdominal part of the mother to best detect the heart tones.

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A client with pernicious anemia is receiving parenteral vitamin B12 therapy. Which client statement indicates effective teaching about this therapy

Answers

The client statement that indicates effective teaching about this therapy is "I will receive paternal vitamin B12 therapy for the rest of my life".

What is anaemia?

Anaemia simply means a condition where an individual lacks healthy red bloods to carry adequate oxygen to the body.

In this case, the client statement that indicates effective teaching about this therapy is "I will receive paternal vitamin B12 therapy for the rest of my life".

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Nonnutritive sweeteners, when consumed within the acceptable daily intake (ADI) levels, do not pose health risks. a. True b. False

Answers

Answer:

The answer is true

True or false: One reason that antibiotic treatment failure occurs is because the drug could not diffuse into the infected body part.

Answers

True. When bacteria becomes resistant, the original antibiotic can no longer kill them, causing them to grow and spread- making it harder for the antibiotic treatment to work properly

Computers are used in pharmacies for all of the following, except: Group of answer choices downloading of information from the Internet for patients. online insurance verification. ordering of medications from mail-order pharmacies. prescription dispensing and record maintenance.

Answers

Computers are used in pharmacies for all of the following, except ordering medications from mail-order pharmacies.

What is the importance of computers in pharmacy?

Computers have a fundamental importance in pharmacy because they can be used to record data and collect information.

However, ordering medications from mail-order pharmacies is carried out by pharmacist professionals.

In conclusion, computers are used in pharmacies for all of the following, except ordering medications from mail-order pharmacies.

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A baby is born with crossed eyes; the doctor suggests surgery to alleviate the problem, which muscles will be cut

Answers

Medial rectus muscle should be cut as the baby needs surgery to alleviate the problem.

What is medial rectus muscle?

The medial rectus muscle is a muscle in the orbit that has been located near the eye. It is a sort of extraocular muscle.

It crops up from the common tendinous ring and enters the anteromedial surface of the eye. It is supplied by the oculomotor nerve's inferior division (III).

It medially rotates the eye (adduction). The head facing straight and helps to keep the eyes facing straight ahead

Thus, Medial rectus muscle should be cut as the baby needs surgery to alleviate the problem.

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1. A client taking newly prescribed gabapentin for persistent neuropathic pain reports dizziness. What is the best nursing response

Answers

The best nursing response is that this is a common side effect of gabapentin and will decrease with use.

Who is a nurse?

A nurse is an individual who acres for the sick people and ensures that they use their medications effectively.

In this case, the best nursing response is that this is a common side effect of gabapentin and will decrease with use.

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Which clinical manifestation would be exhibited by a client following a hemorrhagic stroke of the right hemisphere

Answers

The clinical manifestation would be exhibited by a client following a hemorrhagic stroke of the right hemisphere is a left sided weakness or paralysis and sensory impairment.

What is hemorrhagic stroke?

It should be noted that hemorrhagic stroke occurs when the blood from the artery begins bleeding into the brain.

In this case, the clinical manifestation would be exhibited by a client following a hemorrhagic stroke of the right hemisphere is a left sided weakness or paralysis and sensory impairment.

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where should you begin the primary assessment of a patient displaying a psychiatric issue?

Answers

You should begin the primary assessment of a patient who has a psychiatric problem with an interview to get to know the patient.

How to evaluate a psychiatric patient?

In the psychiatric evaluation, an interview is initially carried out to get to know the patient and, if necessary, a conversation with other sources, such as

family membershealth professionalssocial workersamong others, can be requested.

With this information, we can conclude that you should begin the primary assessment of a patient who has a psychiatric problem with an interview to get to know the patient.

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A client is receiving acetaminophen for fever. The client also has inflammation in the knees and elbows with pain. Why will acetaminophen assist in reducing fever but not in decreasing the inflammatory process

Answers

Acetaminophen will assist in reducing fever but not in decreasing the inflammatory process because prostaglandin inhibition is limited to the central nervous system.

What is the central nervous system?

It should be noted that the central nervous system consist of the brain, spinal cord, and the nerve cells.

Based on the information given, acetaminophen will assist in reducing fever but not in decreasing the inflammatory process because prostaglandin inhibition is limited to the central nervous system.

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A person's health is determined by a combination of _____ and environmental factors.
Group of answer choices

heredity, or, genetic

luck

religion

ethnicity

Answers

Answer:

heredity, or, genetic

Explanation:

A large factor impacting an individual's health is the genetic predispositions people have. It is for this reason that many illnesses run in families.

The answer is A, heredity and Genetic

the medical model of psychologically disordered behavior

Answers

The medical model of psychologically disordered behavior is made by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)

What is Diagnostic and Statistical Manual of Mental Disorders?

Is a work that provides all the necessary information on the subject, including descriptions and lists of symptoms aimed at the identification and diagnosis of mental disorders with a biopsychosocial approach with the purpose of providing a sophisticated and comprehensive appreciation of the total context in which the abnormalities of the behavior occur.

With this information, we can conclude that the medical model of psychologically disordered behavior is made by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)

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