Answer:
C
Explanation:
C
thats the coach's job, not the official's
You graduated 3 months ago and are working with a home care agency. Included in your caseload is J.S., a 60-year-old man suffering from chronic obstructive pulmonary disease (COPD) related to cigarette smoking. He has been on home oxygen, 2 L oxygen by nasal cannula (O 2 /NC), for several years. Approximately 10 months ago, he was on chronic oral steroid therapy. His current medications include an ipratropium/albuterol
(Combivent) inhaler, beclomethasone (Beclovent) inhaler, dexamethasone (Decadron), digoxin (Lanoxin),
and furosemide (Lasix).
1. On the way to J.S.'s home, you make a mental note to check him for signs and symptoms of
Cushing syndrome. Why?
2. Differentiate between Cushing syndrome and Cushing disease.
3. Your assessment includes the following findings. Determine whether the findings are
attributable to J.S.'s COPD or possible Cushing syndrome. Place an L beside the symptoms
consistent with COPD and a C next to those consistent with Cushing syndrome.
_____ 1. Barrel chest
_____ 2. Full-looking face (moon face)
_____ 3. BP 180/94mm Hg
_____ 4. Pursed-lip breathing, especially when patient is stressed
_____ 5. Striae over trunk and thighs
_____ 6. Bruising on both arms
_____ 7. Acne
_____ 8. Diminished breath sounds throughout lungs
_____ 9. Truncal obesity with thin extremities
_____10. Supraclavicular and posterior upper back fat
4. You inform the physician of J.S.'s assessment. The physician believes J.S. has developed
Cushing syndrome and decides to change his prescription from dexamethasone (Decadron)
daily to prednisone (Deltasone) given on alternate days. Explain the rationale for this change.
5. Identify possible consequences of suddenly stopping dexamethasone (Decadron) therapy.
6. You advise J.S. to take the prednisone (Deltasone) at breakfast. Why?
7. Cushing syndrome can affect memory. Patients can easily forget what medications have been
taken, especially when there are several different medications and some are taken on
alternating days. List at least three ways you can help J.S. remember to take his medications
as prescribed.
8. J.S. states that his appetite has increased but he is losing weight. He reports trying to eat, but
he gets short of breath and cannot eat any more. How would you address this problem?
9. You ask him questions related to the presence gastric discomfort, vision, and joint pain. Why?
10. Differentiate between the glucocorticoid and mineralocorticoid effects of prednisone
(Deltasone).
11. How would your assessment change if J.S. were taking a glucocorticoid that had significant
mineralocorticoid activity?
12. Review J.S.'s list of medications. Based on what you know about the side effects of loop
diuretics and steroids, discuss the potential problem of administering these in combination
with digoxin.
13. You need to assess J.S. for signs and symptoms of an infection. Why?
14. What signs and symptoms of infection do you assess for in J.S.? Select all that apply.
a. Pain
b. Fever
c. Loss of function
d. Palpitations
e. Unusual drainage
f. Localized edema
15. Realizing J.S. is susceptible to infection, you review with him ways to reduce the risk of
infection. Identify four major points to include.
16. In addition to measures to reduce the risk of infection, what other information would you
want to stress to J.S. at your visit? Select all that apply.
a. Drink at least 4000mL of fluids daily.
b. Increase intake of foods high in sodium.
c. Weigh yourself first thing in the morning.
d. Take vitamin and electrolyte supplements as prescribed.
e. Notify the physician if your pulse is lower than 60 beats/min.
f. Call the doctor if your weight increases more than 2-3 pounds in 1 day.
g. Take the furosemide (Lasix) first thing in the morning and again at bedtime.
Glucocortocoids Medications
Fludrocortisone
Dexamethasone
Aminpglutethimide
Metyrapone
Mitotane
Etomidate
The Nursing Process
What nursing assessment will you perform regarding each medication?
What planning and implementation do you need to do for each medication?
How would you evalute the effectiveness of each medication?
Answer: 1. On the way to J.S.'s home, you make a mental note to check him for signs and symptoms of
Cushing syndrome. Why?
Explanation:
On the way to J.S.'s home, you make a mental note to check him for signs and symptoms of Cushing syndrome.
What is cushing syndrome?
Cushing syndrome is defined as a tumor which is developed by unwanted and unusual growth of cell and this tumor is present in pituitary gland which is situated in the basal part of the brain this also produce a heavy amount of ACTH which produce stimuli to the adrenal glands.
Taking high dose of glucocorticoids for long time can cause cushing's syndrome and the main function of glucocorticoids is to remove pain and it is injected in the joints.The non-hodgkin's lymphoma is the cancer of lymphatic system and condition occurs when a large number of abnormal lymphosides produces in the body and the lymphosides are a type of white blood cells.
The non-hodgkin's lymphoma is treatable disease and it can be treated by medical professionals. The main symptoms of non-hodgkin's lymphoma are fever, stomach, night sweats, swollen lymphnodes and loss of appetite.
Therefore, On the way to J.S.'s home, you make a mental note to check him for signs and symptoms of Cushing syndrome.
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You work in Daffodil Lodge Care Home as a health care assistant and you see another member of staff physically abusing a resident. The staff member is pulling the resident out of bed instead of using a hoist and being very aggressive. The elderly gentleman is instantly left with marks on his arms and is crying due to the harsh movement.
Describe what you would do in this situation, what actions would you take? How would you know what to do?
Answer:
I would stop the assistant from abusing the resident and help him or her out of the bed then report the assistant and get him or her fired
During a water polo match, how long is the running shot clock? A 20 seconds B.45 seconds C . 15 seconds D.35 seconds
Answer:E
Explanation:
True or False
1 Only few people are now engaged in planting and propagating trees and
fruit-beanng trees
2. Trees give food likes fruits, vegetables, nuts and sugar
3. Trees grow with oxygen and carbon dioxide.
4. Ecological balance does not allow every living thing in nature to survive for
as long as we take care each other,
5. Construction materials like lumber, plywood and board came from trees.
6. Containerized garden needs a small space in your backyard
7. Fruit-bearing trees can be planted without considering the climate in your
community
8. Planung and propagating trees help the economy of the country,
9. Organic fertilizers are made of cement, steel and etc.
10. Trees needs sunlight.
Answer:
1)true
2)true
3)true
4)false
5)true
6)true
7)false
8)true
9)false
10)true
18. An addictive chemical present in tobacco and most vaping products that causes your heart rate
and blood pressure to increase is called....
a. leukoplakia
b. gingivitis
C. carbon monoxide
d. nicotine
what is non time bound?
High quality example sentences with “non time bound” in context from reliable sources - Ludwig is the linguistic search engine that helps you to write better in ...Answer:
Explanation:
you have to study
Answer:
What does not bound mean?
Filters. Attached to a certain moment or era in time. adjective.
Explanation:
Men are _____ times more likely to suffer from alcoholism than women are
Answer:
Pretty sure its 1.75
Explanation:
CDC website says 7% for men, 4 for women
Answer:
Explanation:
Almost 59% of adult men report drinking alcohol in the past 30 days compared with 47% of adult women.
3.1 Define 'democracy'
Answer:
Democracy is a form of government in which the people have the authority to choose their governing legislators.
Explanation:
Answer:
a system of government by the whole population or all the eligible members of a state, typically through elected representatives.
Explanation:
Martinez bought a few potatoes at the store. After rinsing them, he placed them in a basket under the sink. What mistake(s) did Martinez make?
Answer:
putting the potatoes under the sink
Explanation:
because the water used to rinse the dirty potatoes will still drop on the clean one.
Soaking vegetables for long periods of time or keeping them under the sink depletes them of nutrients.
What is Nutrients?A nutrient is a type of substance that an organism uses to survive, grow, and reproduce. The requirement of dietary nutrient intake applies to all living organisms such as animals, plants, fungi and protists. It provides nutrition which is essential for growth and maintenance of life.
There are 7 major groups of nutrients that perform different and unique functions in our body as they are all essential as they work together and contribute to our good health.
CarbohydratesProteinsFatsVitaminsMineralsDietary fibreWaterNutrients give us energy and allow our bodies to perform essential functions. Every organism on our earth needs nutrients as they are essential for life. Continuous washing with water or soaking vegetables or fruits leads to loss of nutrients.
Thus, soaking vegetables for long periods of time or keeping them under the sink depletes them of nutrients.
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which is better to use Apc or drg
When you are preparing a new recipe, your first read-through is to make sure you have the correct ingredients and tools, while your second read-through focuses on what?
serving size
the abbreviations
the methods
the cooking times
Answer:
I took the quiz and the other person is wrong
Explanation:
Its the methods
The second read-through focuses on the methods. The correct option is C.
What is a recipe?Recipes are cooking instructions. Before you begin cooking, it is critical that you read the entire recipe. This explains how the dish is prepared. All recipes begin with the dish's name.
Some recipes will list the ingredients that must be divided and the portions used at different times during the cooking process, so reading the recipe thoroughly first will ensure that you do not make a mistake during preparation.
When you read recipes prior to actually cooking, you'll understand what ingredients you'll need to start making the dish you're preparing.
When preparing a new recipe, the first researched ensures that you have all of the necessary ingredients and tools, while the second read-through focuses on the methods.
Thus, the correct option is C.
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Which behavior can prevent cross contact
A:reusing plates to serve customers
B: obtaining food from local sources
C: using separate oils and fryers
D: washing and cleaning produce
Answer:
C: using separate oils and fryers
Explanation:
even if you remove the foos from the fryer small peices of it can still remain
Siri is an athlete, and she thinks that the fat in her diet is keeping her from being as lean as she could be. She has decided to cut down on the number of fat grams she eats but to increase her carbohydrate and protein intake in order to keep her calories up. Do you think this is a good idea? What information would you share with Siri about her decision?
AWNSER: I would say that's a great idea for Siri but not to good because if she's tryna decrease the fat grams in her healthy diet. She needs to cut down on the number of pills she's taking for her diet
Cutting down on the number of fat grams she eats is a good idea as sufficient fat in the body is usually stored in the body.
What is Calorie?This is referred to as the energy currency of cells and helps with our daily activities.
Cutting down on fat will make her as lean as she wants due to decrease in fat being stored under adipose tissues in the body.
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After Alison saw her sister knock an earring down the drain after setting them next to the sink, Alison began putting her earrings in her jewelry box when she took them off. Which part of the social cognitive theory addresses Alison’s new behavior?
A.
reciprocal determinism
B.
response tendency
C.
self-efficacy
D.
observational learning
Please select the best answer from the choices provided
Answer: the answer is D
What bones and joints are used when kicking a soccer ball?
It is undeniable that preventive care and curative care are both important functions of any healthcare system. Based on this, imagine that you work
in the healthcare industry and have been asked to choose one of these types of care to
focus on improving in an effort to lower healthcare costs overall. Which would you choose to improve? How and why? Explain
Answer:
Preventive care.
Explanation:
I will choose to improve the preventive care because using preventive methods helps to save the person or individual from having a disease and also save a person from healthcare cost. Preventive care is cheap as compared to curative care due to no use of expensive medications. In preventive care, the health hazards things should be avoided in order to save yourself from the disease.
Mariko age 2 prefers a daily diet of rice or noodles that have been drenched in soy sauce. She will take a few bites of tofu when her mother insists but refuses meats fish and most vegetables
Answer:
meats and fish are part of the protein group. protein and veggies provide protein, iron, b vitamins, zinc, vitamin a, vitamin c, and dietary fiber. if mariko isn't eating proteins or veggies, she is most likely deficient in protein, b vitamins, zinc, vitamin a, and vitamin c. also, not eating enough of the proper nutrients combined with her use of soy sauce can potentially lead to long-term health problems for mariko, including high blood pressure and heart disease.
Explanation:
hope this helps :) have a nice day !!
29. Pregnant women who drink alcohol put their baby at risk for
a. Fetal Alcohol Syndrome
b. physical deformities
C. stillbirths
d. all of the above
Answer:
The answer is Fetal Alcohol Syndrome
1. Which of the following is considered as waste?
A. decaying wood
B. rusty metal C. spoiled food
D. all of the above
Answer:
spoiled food
Explanation:
four current affairs of world and their effects in human life
Answer:
Heres 4
Explanation:
China Becomes India's Largest Trading Partner
corona 19
Global Warming
Pollution
A state of well being or total health
There are many ways to treat a medical problem.
Question 1 options:
True
False
Question 2
Which of the following is NOT an alternative health treatment for a disease?
Question 2 options:
A)essential oils
B)acupuncture
C)homeopathy
D)pharmaceutical drugs
Question 3
Lack of sleep is linked to many health problems including obesity, infections, heart attacks and early death.
Question 3 options:
True
False
Question 4
Smoking and drinking alcohol are linked to cancer and early death.
Question 4 options:
True
False
Question 5
Which of the following is NOT good for your health?
Question 5 options:
A)Eating a lot of prebiotic foods
B)Eating a lot of probiotic foods
C)Eating a lot of vegetables
D)Eating a lot of "fake foods" not found in nature (chips, cereal, candy)
Answer:
True,False,True
essential oils
eating a lot of fake foods not found in nature (chips, ceral, candy.)
3. Every food worker has the responsibility to:
A. Memorize the details of food safety regulations
B. Protect food from anything that could cause harm
C. Make sure that new employees are fully trained about food
safety
A nurse is caring for a client who is start therapy with lovastatin. The nurse should prepare the client for which of the following diagnostic assessments
Answer:
Cholesterol, liver tests,
Explanation:
This a medicine for high cholesterol so that's why you need a test for cholesterol
Mrs. Jones is walking towards you. You are looking at her from a
(an) -- view
O Proximal
O Anterior
O Dorsal
O Posterior
Answer:
anterior because you looking her
I’m concerned about my friend.
He said he has a bad headache and a very very high fever of 110.
Answer:
It might be something small like a fever. However, If it seems more serious it might be Meningitis. The first symptoms of this sickness are fever and headaches. It is caused when an infection attacks the lining around the brain and spinal cord. Although, since it is just a headache and fever it might not be as serious.
Explanation:
What is a free radical?
Answer:
In chemistry, a radical is an atom, molecule, or ion that has an unpaired valence electron. With some exceptions, these unpaired electrons make radicals highly chemically reactive. Many radicals spontaneously dimerize. Most organic radicals have short lifetimes. so D
Explanation:
Answer:
an inert molecule with an unpaired electron
Explanation:
When doing push ups, which best describes your position?
O Distal
O Prone
O Strong
O Supine
Answer:
I would say its close to Prone. Prone is facing "downward" and I think that would be the better answer
Explanation:
Answer: Prone
Explanation:
Because if you look at all the positions that they gave you as an option they look absolutely different then a push up accept Prone which is facing downwards
1. What is the connection between high blood pressure (hypertension) and heart disease?
Answer:i can’t see your question
Explanation:
Ben is 6'0 and weighs 185 is he classified as overweight its bmi type of question
Answer:
No
Explanation:
It is the right weight for 6.0