Four-handed dentistry is the conception that describes the way the dentist and the dental adjunct work together to perform clinical procedures in an ergonomically structured terrain.
Four-handed dentistry is exactly what it seems like—the two hands of the dentist and the two hands of a healthcare professional combine to expedite the defendant's treatment. You communicate while seated across from the governor in order to do tasks faster.
The Nurse can have more comfortable dental work thanks to four-handed dentistry. It maximizes teamwork, and stress reduction, and boosts job satisfaction. The advantage to the patient is realized with improved work quality, fewer treatment hours, and higher case enjoyment.
Dentists spend multiple difficult hours each day looking down on the mouths of their patients since they had to handle every tool as well as treatment on their own. However, experimenters as well as physicians at UAB's School of Dentistry added a different worker to the practicing environment in the 1960s, and the idea of "four-handed dentistry" was born.
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Approximately how many grams of protein per day should a healthy 24-year-old male who weighs 182 pounds consume to meet the RDA for protein for an adult who is not an athlete? (Tip: One kilogram = 2.2 pounds.)
Approximately 66 grams of protein per day should a healthy 24-year-old male who weighs 182 pounds consume to meet the RDA for protein for an adult.
Recommended Dietary Allowance (RDA):
The average daily dietary nutrient intake level which is sufficient to fulfill the nutrient needs of nearly all (97-98 %) healthy individuals in a particular life stage and gender group.
Protein needs depend on a number of factors, such as:
weight and composition of the body (increased muscle mass)Level of physical activityEnergy and carbohydrates intake of an individualDisease or injury present (e.g. recovering from trauma or operation)Rate of growth for the person (e.g. greater during childhood )Estimated protein requirements in accordance with US and Canadian Dietary Reference Intake recommendations:
46 grams of protein per day for women between the ages of 19 and 70. (based on 57.5 kg individual).56 grams of protein per day for men ages 19 to 70. (based on 70kg individual).Learn more about Protein here :
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hen assessing a patient with a medical complaint, which of the following would MOST likely reveal the cause of the prob
Medical history
To better understand the patient's health and determine whether any recent complaints are related to it, you should ask the patient for a medical history. This will help you arrive at a diagnosis.
What is Medical history ?A doctor can learn about a patient's medical history, case history, or anamnesis (from the Greek words v, aná, "open," and mnesis, "memory") by asking particular questions.
A file containing details on a person's health. In a personal medical history, details concerning ailments, operations, vaccines, and the outcomes of physical examinations and tests may be included. Information on medications taken as well as health practises like diet and exercise may also be included.Learn more about Medical history here:
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When providing atraumatic care to a child which action would be the most appropriate?
When providing atraumatic care to a child the most appropriate action could be allowing parents and children an informed choice about being together.
Atraumatic care is a care approach that removes or reduces the psychological and physical disorder suffered by children and their families.
The procedures applied may induce anxiety, despair, obscurity, fear and loss of control in the child and the family.
Atraumatic care is based on the principle of avoiding harm.
To care for pediatric patients, we could implement the following actions:
Let Them Warm up to You.Make the Environment Comfortable.Communicate on Their Level.Walk Them Through the Appointment.Use Appropriate Terms.Body Language.Engage the ParentsTo learn more about atraumatic pediatric care, here
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Which assessment would support a diagnosis of type A COPD rather than type B COPD?
Airway blockage or limitation is a hallmark of the group of chronic, irreversible respiratory disorders known as a chronic obstructive pulmonary disease (COPD). It is not treatable or contagious. Reduced pulmonary airflow brought on by elevated inflammation characterises asthma and chronic obstructive pulmonary disease (COPD).
Two primary phenotypes have been established based on clinical, pathological, and radiological characteristics:
Emphysema type A and type B patients are referred to as "pink puffers" and "blue-bloaters," respectively (chronic bronchitis)
Dyspnea is the most common symptom in Type A patients, while cough and hypersecretion are mild. The main causes of the decreased diffusing capacity for carbon monoxide (DLCO) and frequently enlarged lung volumes in Type A patients include non-homogeneous ventilation and ventilation-perfusion mismatch. Type A patients also seldom have hypercapnia or recurrent heart failure.
Mucous hypersecretion is the predominant symptom of type B patients, although dyspnea is mild. While lung capacities are not expanded and carbon monoxide diffusing ability is often conserved, type B patients frequently exhibit hypercapnia, hypoxia, secondary pulmonary hypertension, and cardiovascular comorbidities.
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The learning curve for ultrasound-guided peripheral intravenous cannulation in adults: a multicenter study
Nurses should receive training and practice in employing ultrasonic (US) guidance in order to reduce the threshold for using it during peripheral intravenous cannulation.
Abstract:Aim:
The main goal of the study was to estimate how many procedures beginners must complete before becoming proficient at US-guided peripheral intravenous cannulation.
Materials and procedures:
After a theoretical training session, a multicenter prospective observational study was divided into two phases: supervised life-case training and practical training. The goal was to determine how many US-guided peripheral intravenous cannulations a participant would need to complete before being considered competent in the life-case scenario. Each participant's specific learning curve was determined via cusum analysis.
Results:
A total of 1855 procedures were carried out by the 49 participating practitioners. During the initial procedure, first, try cannulation success was 73 percent; however, it climbed to 98 percent on the forty-first attempt (p 0.001). This study's overall first-try success rate was 93 percent. According to the cusum learning curve for each practitioner, proficiency was attained after a median of 34 procedures. The amount of time needed to complete a procedure successfully dropped as the practitioner's experience increased, from 14 minutes for the first procedure to 3 minutes for the forty-first (p 0.001).
Conclusions:
By adhering to a set educational programme, one can become proficient in US-guided peripheral intravenous cannulation, which increases the success rate of cannulation attempts on the first try as more procedures are conducted.
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The primary health care provider (PHCP) has prescribed codeine sulfate for a client with a nonproductive cough to suppress the cough reflex. The nurse should teach the client to monitor for which side effect of the medication
The nurse should teach the client to monitor for constipation side effect of the medication.
What is constipation?Patients with constipation may experience abdominal tightness or a severe, cramping discomfort in the middle of their gut.Even though they haven't eaten in several hours, they could constantly feel as though they have just had a substantial meal.Additionally, patients may feel gassy, yet passing gas does not make them feel better.When you have difficult or infrequent bowel movements, you are constipated. Most people eventually go through it.Even while it's generally nothing serious, once your body is back on track, you'll feel considerably better. Individual differences in the average interval between bowel motions are significant.Additionally lacking in fiber, these foods can significantly slow down the passage of food through your intestines.Learn more about constipation here:
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Using SBAR (Situation, Background, Assessment, Recommendation/Request) to communicate with the health care provider, which statement should the nurse include to describe the situation
1."She is a 53-year-old female who was admitted 2 days ago with pneumonia and was started on Levaquin at 5 pm yesterday. She complains of a poor appetite."
2. "The patient reported feeling very nauseated after her dose of Levaquin an hour ago."
3. "Would you like to make a change in antibiotics, or could we give her a nutritional supplement before her medication?"
4. "The patient started complaining of nausea yesterday evening and has vomited several times during the night."
The correct option is 4,1,2,3
The nurse describes the patient's complaint of nausea and vomiting to the physician (Situation). Specific patient demographic information.
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An osmotic diuretic such as mannitol is given to the client with increased intracranial pressure (ICP) to
An osmotic diuretic such as mannitol is given to the client with increased intracranial pressure (ICP) to dehydrate the brain and reduce cerebral edema.
One's skull may experience increasing pressure as a result of a brain injury or another medical issue. Increased intracranial pressure, or ICP for short, is a risky condition that can cause headaches. One's brain or spinal cord may possibly suffer additional damage from the pressure. The amount of brain and extracellular fluid is decreased by osmotic diuretics by drawing water across intact membranes. The patient with IICP is given antipyretics and a cooling blanket to reduce fever. Mannitol is a form of diuretic, but its purpose is not to make you pee more. To lessen the demands on cellular metabolism, medications such as barbiturates are administered to patients with IICP.
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Elizabeth's fasting blood glucose was elevated at 210 mg/dL. Her doctor had been warning her for several years to manage her glucose levels, but she wouldn't listen. She now presents with hypertension, nausea/vomiting, proteinuria, and microalbuminuria. Renal biopsy shows glomerulosclerosis. What is Elizabeth's most probable diagnosis and what are some treatment options
Elizabeth's most probable diagnosis and some treatment options are diabetic nephropathy, diuretics, and dialysis.
What is the treatment of diabetic nephropathy?
As part of your diabetes management, routine testing is typically used to identify diabetic nephropathy. Starting five years following your diagnosis, screening for diabetic nephropathy is advised if you have type 1 diabetes. If you are given a type 2 diabetes diagnosis, the screening will start right away.
Regular screening exams could involve:
Test for urinary albumin: This test can find albumin, a blood protein, in your urine. Normally, albumin is not removed from the blood by the kidneys. A high level of protein in the urine can point to impaired kidney function.Diuretics are frequently administered to the general public to treat a variety of disorders. They can still assist dialysis patients in controlling extracellular fluid volume, hypertension, and the propensity for hyperkalemia.
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Can the pupillary response be inhibited?
The pupillary response may be inhibited by problems with the photomotor reflex and/or specialized drugs.
What does pupillary reaction mean?The pupillary light reflex or photomotor reflex is part of a standard neurological examination. It evaluates the constriction reflex of the pupil, called miosis, in view of the incidence of direct light in the eye to be tested.
With this information, we can conclude that Pupillary response varies the size of the pupil of the eye via the iris dilator muscle, which dilates in response to a stressor.
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A nurse provides teaching on hand hygiene to a client. Which of the following client statements indicates to the nurse a need for further teaching
The following client statements indicates to the nurse a need for further hygiene teaching "I should wash my hands until they appear clean".
Washing hands until they appear clean is not the correct way to maintain hygiene. Generally speaking, washing your hands with soap and water is recommended. Regular soap is just as good at fighting germs as over-the-counter antibacterial soaps.Clean, running water, either warm or cold, should be used to wet your hands.Apply soap and thoroughly lather.For at least 20 seconds, vigorously rub your hands. Keep in mind to scrub everything, including the wrists, between your fingers, and under your fingernails.Clearly rinse.Dry your hands using a fresh towel or let them air dry.learn more about hygiene here: https://brainly.com/question/13562099
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A nurse is triaging clients after a local disaster. Which of the following clients should the nurse recommend to discharge first
A nurse is triaging clients after a local disaster. The nurse should recommend that patients who have not suffered any blows and have only superficial cuts should be discharged first.
What is the role of nursing in a situation of public calamity?The role of nurses in urgent and emergency situations is quite broad, as they work by evaluating the assistance provided, performing risk classification, supervising and training the health team, performing arterial and venous puncture, among others.
With this information, we can conclude that Disaster nursing refers to a situation in which a health professional, usually a registered nurse or nurse practitioner, responds to a crisis situation.
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The nurse is caring for a client with chronic pancreatitis. Which meal should the nurse recommend when assisting the client in selecting food items from a menu
Baked tilapia with lemon wedge, sweet potatoes, and green peas is the best food which should be recommended for a patient with chronic pancreatitis.
What is Pancreatitis?This is referred to a medical condition which is characterized by inflammation of the pancreas.
The appropriate food sources are the ones with low fat protein such as tilapia, peas etc.
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why are americans consuming more of their energy from sugar than might be healthy? What recommendations do the dietary guidlines for americans 2015-2020 make in regards to sugar consumption? how can these recommendations be implemented?
Ultra-processed foods are industrial formulations, usually made from food parts. They are made, for example, with sugar extracted from one food, with starch extracted from another food, with protein isolated from another food.
Why are Americans consuming more energy from sugar than is healthy?Due to a greater consumption of ultra-processed foods and drinks that have more sugar.
What recommendations do the 2015-2020 Dietary Guidelines for Americans make regarding sugar consumption?1. Follow a healthy eating pattern for a lifetime
All food choices are important. Choose a healthy eating pattern with an adequate amount of calories to help you maintain a healthy body weight, get adequate nutrients and reduce your risk of chronic disease.
2. Focus on variety, nutritional density and quantity
To meet nutritional needs within a caloric limit, one should choose a variety of foods with high nutritional density from all food groups, considering the recommended amounts.
3.Limit calories from added sugars and saturated fats and reduce sodium consumption
Reduce foods and beverages with high levels of these components to an amount that fits within a healthy dietary pattern.
4. Prefer healthy food and drink choices
Choose foods and beverages with high nutrient density, which are in all food groups, in place of less healthy choices. Consider cultural and personal preferences so that these changes are easier to follow and maintain.
5. Maintain healthy eating patterns for everyone
Everyone has a role to play in helping to create and maintain healthy eating patterns in various locations across the country (at home, in schools, at work, in communities).
How can these recommendations be implemented?Day to day, seeking a better quality of life
With this information, we can conclude that Ultra-processed foods are industrial formulations, usually made from food parts.
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What instruction should the nurse give a client who is diagnosed with fibrocystic changes of the breast
Every month, perform a breast self-exam (BSE). This is the instruction given by the nurse for diagnosed with fibrocystic changes of the breast.
What is breast self-exam?Breast self-examination is a screening technique used to try and find breast cancer early on. The woman herself examines and feels each breast to check for any potential lumps, deformities, or swelling.Right shoulder should be supported by a pillow, as should your right arm behind your head. Gently wrap your left hand's finger pads around your right breast, covering the entire breast and armpit region. Apply gentle, moderate, and hard pressure. Squeeze the nipple and feel for lumps and discharge.By feeling for lumps or other changes, a person can examine their own breasts. Self-examinations of the breasts can teach a person how they typically feel and appear and help them recognize when changes take place.Learn more about breast self-exam here:
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A nurse is caring for a client diagnosed with a cerebral aneurysm who reports a severe headache. Which action should the nurse perform
The action that the nurse should provide is to Call the health care provider immediately.
What is cerebral aneurysm?Cerebral aneurysm is situation that occurs when there is weakness of a blood vessel in the brain which may burst or rupture with time.
An emergency health situation is a situation which needs an immediate health care service attention.
This situation is an emergency situation and needs the attention of a health care provider when constant headache are being complained of.
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Dozens of clients arrive in the emergency department with chemical burns and inhalation injuries from exposure to anhydrous ammonia gas released from a tanker truck on a highway. What is the priority action by the nurse
For chemical burns, the priority action by the nurse should be to Assist clients to remove contaminated clothing and shower with copious amounts of water.
Strong acids, drain cleaners, paint thinner, gasoline, and many other substances can induce chemical burns, which are tissue injury.For patients who have been exposed to a hazardous chemical or radioactive agent, decontamination is a top nursing priority. Before offering care to patients in a disaster, the nurse should help them completely decontaminate. Decontamination reduces exposure to other clients and personnel as well as further client injuries.If a shower is available, take off any contaminated clothing or jewelry and rinse the chemicals off for at least 20 minutes. Avoid getting chemicals in your eyes.Dress the burn. Apply a fresh bandage to the burn. On prevent applying pressure to the burned skin, wrap it loosely.Re-rinse if necessary. Rinse the area several more times if you experience more burning.learn more about chemical burns here: https://brainly.com/question/24720375
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Which is a continued severe respiratory distress that is not responsive to drugs, including epinephrine and aminophylline, and is a medical emergency?
Acute respiratory distress syndrome (ARDS) occurs when fluid builds up in the tiny, elastic air sacs (alveoli) in your lungs.
ARDS is divided into three categories:- mild, moderate, and severe. The category is determined by comparing the level of oxygen in the blood with the amount of oxygen that needs to be given to achieve that level.
Illicit drugs are chemicals, and when people smoke, inject, or otherwise consume these chemicals, it negatively affects their health. Drugs interact with gas exchange in the lungs and lead to aspiration pneumonitis, pulmonary edema, and pneumonia.
Sepsis may be the most common cause of ARDS that develops several days or more after severe trauma or burns.
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A Phase 1/2 Study of a Respiratory Syncytial Virus Prefusion F Vaccine With and Without Adjuvant in Healthy Older Adults
Respiratory syncytial virus (RSV) is an important cause of disease in older adults.
Safety and immunogenicity of a stabilized RSV prefusion F subunit (RSVpreF) vaccine candidate with/without adjuvant in adults 65 - 85 years.
What are the results of Study of a Respiratory Syncytial Virus ?All RSVpreF vaccine candidates elicited robust and persistent serum neutralizing responses when administered alone or with SIIV.
There was no notable difference in neutralizing response between the formulations, including those containing CpG. In the Month 0,2 Cohort, there was no booster effect of dose 2. SIIV responses were similar or slightly lower with concomitant administration of RSVpreF. Most systemic and local reactions were mild and more frequent after RSVpreF than placebo.Learn more about Respiratory Syncytial Virus here:
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The nurse explains to the parents of a 2-day-old newborn that decreased life span of neonatal red blood cells has contributed to which complication
The nurse explains to the parents of a 2-day-old newborn that decreased life span of neonatal red blood cells has contributed to hyperbilirubinemia.
Jaundice, a yellow colouring of the skin and eyes brought on by hyperbilirubinemia, is caused by an accumulation of bilirubin in the blood. Low bilirubin levels in newborns are typical, do not cause any problems, and resolve on their own within the first week of life.
On the other hand, some situations, such as prematurity, infection, or specific blood abnormalities, can cause a rapid buildup of bilirubin to a dangerous level.About 60% of term neonates and 80% of premature babies both experience hyperbilirubinemia, which causes jaundice.
Red blood cell lysis naturally produces bilirubin as a byproduct. Unconjugated bilirubin is transformed by the adult liver into a conjugated form that is eliminated.
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Elaine was a diabetic and had a wound that would not heal, so Dr. Smith had her placed in a hyperbaric oxygenation of the wound. The root operation term used in ICD-10-PCS is:
Elaine was a diabetic and had a wound that would not heal, so Dr. Smith had her placed in a hyperbaric oxygenation of the wound. The root operation term used in ICD-10-PCS is: Assistance
ICD-10-PCS :
THE INTERNATIONAL CLASSIFICATION OF DISEASES Tenth Revision Procedure Coding System (ICD-10-PCS) was developed to accompany the World Health Organization’s (WHO) ICD-10 diagnosis classification. The new procedure coding system was created to replace of ICD-9-CM procedure codes for describing inpatient procedures.
The root operations defines the the objective of the procedure. Some examples of root operations are Bypass , Drainage, and Reattachment.
Assistance defines procedures that assist a physiological function but do not take complete control of it, such as intra-aortic balloon pump to support cardiac output and hyperbaric oxygen treatment.
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most sports nutrition experts recommend at least ____ to____ grams of high-quality protein within the first 1 or 2 hours after exercise to maximize protein synthesis.
Most sports nutrition experts recommend at least 20 to 25 grams of high-quality protein within the first 1 or 2 hours after exercise to maximize protein synthesis.
The stimulation of muscle protein is mainly stimulated by the resistance workout and ingestion of protein. Protein intake is essential to maintain the nitrogen balance in the body. Protein recommended by the International Society of Sports Nutrition emphasizes on consuming egg protein, soy protein isolate, and milk-based whey protein to receive the essential amino acids in the body. Such proteins will be utilized by the muscles immediately to regulate the nitrogen balance in the body. Muscles are most sensitive after a workout and protein consumption post-exercise would boost protein synthesis and muscle recovery.
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Describe the most important personal value to you that is based on your culture.
The nurse is caring for a client with a history of transient ischemic attacks (TIAs) and moderate carotid stenosis who has undergone a carotid endarterectomy. Which postoperative finding would cause the nurse the most concern
The postoperative finding that would cause the nurse the most concern is difficulty in swallowing.
What are transient ischemic attacks?
An episode of transient ischemic attack (TIA), which has symptoms resembling those of a stroke, occurs suddenly. A TIA typically lasts only a few minutes and has no lasting effects.
What is carotid endarterectomy?Carotid endarterectomy is a surgical procedure to remove a build-up of fatty deposits (plaque), which cause narrowing of a carotid artery.
The carotid arteries are the main blood vessels that supply blood to the neck, face and brain.
Carotid endarterectomies are carried out when 1 or both carotid arteries become narrowed because of a build-up of fatty deposits (plaque).
This is known as carotid artery disease or carotid artery stenosis.
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The city aquarium got a new tank for their dolphins. The tank is 16 feet high with a radius of 28 feet. Answer these questions about the new dolphin tank. Approximately how much water will it take to fill the tank
The water tank is 39388.16 [tex]ft^{3}[/tex].
Given,
H=16ft, R=28ft.
Water holding capacity of the water tank is π[tex]R^{2} H[/tex]= π*[tex]28^{2} *16[/tex]=39388.16 [tex]ft^{3}[/tex]
Water tankAn object used to store water is a water tank.
Water tanks are used to store water for use in many different applications, including drinking water, irrigated agriculture, fire suppression, agricultural farming, both for plants and cattle, chemical manufacture, food preparation, and many other uses. General tank design, material selection for construction, and linings are all water tank factors. To construct a water tank, a variety of materials are utilized, including steel, fiberglass, concrete, stone, and polymers (polyethylene and polypropylene) (welded or bolted,[citation needed] carbon, or stainless). Water can also be kept in earthen jars like the matki used in South Asia. To help underdeveloped nations preserve clean water, water tanks are an effective solution.
The city aquarium got a new tank for their dolphins. The tank is 16 feet high with a radius of 28 feet. Answer these questions about the new dolphin tank. Approximately how much water will it take to fill the water tank.
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What type of interview relies on a set of open-ended questions designed to assess the client's reasons for being in treatment, symptoms, health status, family background, and life history
An unstructured interview is a type of interview relies on a set of open-ended questions designed to assess the client's reasons for being in treatment, symptoms, health status, family background, and life history
An unstructured interview is the most adaptable sort of interview, with a chance for spontaneity. As opposed to a structured interview, the inquiries and the request wherein they are introduced are not set. All things being equal, the interview continues in view of the member's past responses. Unstructured meetings are unconditional. There are 3 significant sorts of unstructured meetings. These are oral history, imaginative meeting, and post-current meeting.
They likewise have expanded legitimacy since it offers the questioner the chance to test for a more profound comprehension, request explanations, and permit the interviewee to guide the heading of the meeting and so on.
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The implementation of nutritional counseling for pregnant women best represents which public health strategy
The implementation of nutritional counseling for pregnant women best represents Active Primary Prevention.
What is primary prevention?Prevention includes a wide range of activities (interventions) which are aimed at reducing risks or threats to health.There are three categories of prevention: primary, secondary and tertiary.Primary prevention aims to prevent disease or injury before it ever occurs. This is done by preventing exposures to hazards that cause disease or injury, altering unhealthy or unsafe behaviors that can lead to disease or injury.It includes measures that a patient can take to avoid some diseases. These include hand washing, immunization, birth control and condoms, etc.Passive prevention strategies are those that do not require action by an individual for protection to occur; individuals are automatically protected. E.g.: Airbags in carsActive prevention strategies are those that require individual action for the intervention to be effective. E.g.: Wearing seat belt, nutritional counsellingLearn more about prevention here:
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1. What is causing the pain in the upper epigastric region ? what barrier(s) normally protect the stomach lining from its own acid?
A nurse is reviewing the medication administration records from the previous shift. Which of the following should indicate the need for an incident/variance report
Option (D). An extended release capsule is mixed with applesauce is the correct answer.
An extended release capsule is mixed with applesauce indicates the need for an incident/variance report.
What is Medical administration record?The medical record is a crucial instrument that is used to organize care, facilitate communication between healthcare professionals and other staff members, and give documentation of the patient's sickness, treatment, and reaction to that therapy. A medical record is private.
What is an incident/variance report?A technique typically utilized in a unit-based clinical outcome report is the variance reporting tool. It is one that is used when it is necessary to record the disparities between what is known to be affected by disease and what was purported to have been accomplished.
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See full question below
A nurse is reviewing the medication administration records from the previous shift. Which of the following should indicate the need for an incident/variance report
a). An aminoglycoside IV antibiotic is administered over 1 hour
b). An ear drop administration is secured with a cotton ball to the outer
ear for 5 min.
c). An IM medication is injected to the vastus lateralis site of an adult.
d). An extended release capsule is mixed with applesauce.
You are an epidemiologist studying an emerging disease reported over the past three years in Wisconsin, Minnesota, and Michigan. You have noticed a seasonal pattern of disease, with new cases appearing in late April through September and peaking in July. No new cases appear during late fall or the winter months. This pattern is suggestive of __________.
This pattern is suggestive of disease transmission by an arthropod vector, such as a mosquito or tick.
Arthropod vectors include mosquitoes, flies, midges, ticks, mites, fleas, bed bugs, lice, and other arthropods that carry and transmit disease-causing organisms or pathogens from one host to another. Vector-borne diseases are infections transmitted by the bite of infected arthropod species such as mosquitoes, ticks, triatomine bugs, sand flies, and black flies. Arthropod vectors are cold-blooded (ectothermic) and therefore particularly sensitive to climatic factors. Arthropods transmit the parasites either by injecting them into the host's bloodstream directly through their salivary glands, or by driving the parasites into the pool of blood that develops when the skin is chewed.
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