A patient who presents with a headache, fever, confusion, and red blotches on his or her skin should be suspected of having? a) hepatitis b) meningitis c) mers-cov d) tuberculosis

Answers

Answer 1

Option B: Meningitis; It should be suspected when a patient complains of headache, fever, disorientation, and red patches on their skin.

What is meningitis?

The fluid and membranes (meninges) that surround your brain and spinal cord become inflamed when you have meningitis. Signs and symptoms of meningitis, such as swelling, generally include headache, fever, and stiff neck. Although bacterial, parasitic, and fungal infections can sometimes cause meningitis, viral infections account for the majority of cases in the United States. Some cases of meningitis improve without therapy after a few weeks. Others may be fatal and call for immediate antibiotic therapy. Early meningitis symptoms can resemble flu symptoms (influenza). The onset of symptoms can take several hours or several days.

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Related Questions

The nurse is assessing a client who reports taking cholestyramine mixed with diet cola twice per day. what is the most appropriate nursing diagnosis for this client?

Answers

The answer to the question is Deficient knowledge regarding drug therapy.

What is drug therapy?

To cure or prevent disease, medications are administered as part of drug therapy. It is used to treat a wide range of ailments and conditions, from cancer treatment to psychological disorders.

This form of treatment is also known as pharmacotherapy.

While talk therapy is frequently paired with drug therapy for the best results, drug therapy is an important part of treating psychiatric disorder.

Multiple medications with various active ingredients may occasionally be supplied for the treatment of disorders like cancer, HIV infection, and diabetes. Combination therapy is what this is.

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A nurse is taking care of a client with tuberculosis who has developed resistance to the ordered antibiotic. Which type of client is most likely at increased risk for infection?

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A nurse is taking care of a client with tuberculosis who has developed resistance to the ordered antibiotic and the type of client which is most likely at increased risk for infection is an older adult.

Tuberculosis (TB) may be a probably serious infectious disease that chiefly affects the lungs. The bacteria that cause T.B. area unit unfold from person to person through little droplets discharged into the air via coughs and sneezes.

Like other bacterial pathogens, Mycobacterium tuberculosis—the bacterium that causes TB—has developed resistance to antibiotic treatments over time via body mutations that defend the organism against the action of the medicine.

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Which patient indicator would be used to measure a reduction in pain level for a patient? one, some, or all responses may be correct.

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An evaluative measure like numeric rating scales is a patient indicator that would be used to measure a reduction in pain level for a patient.

The 3 most typically used evaluative measures to measure pain level embody verbal rating scales, numeric rating scales, and visual analogue scales. Verbal Rating Scales (Verbal Descriptor Scales) utilize common words (eg, mild, severe) to grade pain intensity

Numeric rating scale (NRS)  is mostly used. an individual rates their pain on a scale of zero to ten or zero to five. Zero means that “no pain,” and five or ten means that “the worst potential pain.” These pain intensity levels is also assessed upon initial treatment, or periodically once treatment.

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The clinic nurse is assessing a client's pulse before outpatient diagnostic testing. what should the nurse document when assessing the client's pulse?

Answers

The nurse should document  rate, quality, and rhythm of the blood flow, when assessing the client's pulse.

What is pulse and how is it assessed?

The pulse is a pressure wave in the arterial wall. If an artery wall is pressed at a pulse point, the pulse of pressure in the arterial wall can be felt as blood is squeezed along with each contraction of the heart.

When assessing a client's pulse, the nurse should note the rate, quality, and rhythm of the blood flow.

Thus, the nurse should document  rate, quality, and rhythm of the blood flow, when assessing the client's pulse.

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The nurse includes what information when educating a client concerning a first-degree heart block? (select all that apply.)

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The nurse includes information of an electrocardiogram, congenital heart defects, and the condition is monitored when educating a client concerning a first-degree heart block.

First-degree heart block is a condition of abnormally slow physical phenomenon through the atrioventricular(AV) node. it's outlined by ECG changes that embrace a PR interval of larger than 0.20  without disruption of atrial to ventricular conduction. This condition is mostly symptom-less and discovered solely on routine ECG.

An electrocardiogram is used to identify this conduction disorder. Congenital heart defects are often the cause of the disorder and the condition is monitored, but not actively managed.

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All the participants in the study are given information regarding the benefits of a healthy diet. According to the cognitive dissonance theory, which hypothetical finding is most likely?

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Answer:

Self-serving bias suggests that when explaining their own behavior, individuals attribute positive behaviors to internal, stable sources, but attribute negative behaviors to external sources. A non-obese individual would attribute his or her healthy weight to an internal, stable source, such as strong willpower. However, a non-obese individual would not attribute his or her healthy weight to an external source, such as not having any fast food restaurants near home. Therefore, D is incompatible with the self-serving bias.

The glasgow coma scale is a standardized assessment tool for a person's level of consciousness. which client would this scale not be appropriate for?

Answers

A useful tool for evaluating conscious level impairment in reaction to certain stimuli is the Glasgow Coma Scale.

"Clinical practice and research are both heavily reliant on the Glasgow Coma Scale." Experience obtained since the Scale's first description in 1974 has led to the creation of a contemporary structured method with increased accuracy, dependability, and communication in its application, which has progressed the evaluation of the Scale.

The Glasgow Coma Scale is a system of examining a comatose patient. It is helpful for evaluating the depth of the coma, tracking the patient's progress, and predicting (somewhat) the ultimate outcome of the coma.

More about Glasgow Coma Scale: -

All forms of acute illness and trauma patients can have their level of impaired consciousness measured objectively using the Glasgow Coma Scale (GCS). The scale rates patients based on their eye-opening, muscular, and vocal responses—the three components of responsiveness. A distinct, understandable portrait of a patient may be obtained by reporting each of them independently. The results of each scale component can be combined to provide a total Glasgow Coma Score, which provides a helpful assessment of the overall severity but is less comprehensive. Since then, various clinical recommendations and scoring systems for those who have experienced trauma, or a severe disease have included the Glasgow Coma Scale and its overall score. This exercise reviews the function of the Glasgow Coma Scale and explains how to use it.

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States must exercise their police powers in order to affect or engage in policymaking related to public health.
A. True
B. False

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The statement "States must exercise their police powers in order to affect or engage in policy making related to public health" is true.

What authority does the government have to act in the public's best interest?

Interstate commerce can be taxed, spent, and regulated under federal public health laws. These powers give the federal government the ability to increase tax revenues, distribute resources, economically penalize risky behavior, and enact extensive regulation in the best interests of the general public.

The most fundamental authority of the state governments to enact laws to safeguard the community's welfare, morals, and physical and mental well being.

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Bright light inhibits our feelings of sleepiness by influencing the production of.

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Bright light inhibits our feelings of sleepiness by influencing the production of melatonin.

Melatonin is a hormone that your brain produces in response to darkness. It helps with the temporal arrangement of your time rhythms  (24-hour internal clock) and with sleep. Being exposed to light at night will block internal hormone production. Analysis suggests that internal hormone plays different necessary roles within the body on the far side sleep.

Bright light within the evening, two hours before hour, can cause you to feel asleep and go to sleep later. If you've got bother falling asleep, dim the lights two hours before you would like to travel to sleep. If you get asleep too early within the evening, move into a well-lit space to feel additional awake.

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A __________ is a metal or plastic strip used to replace the missing interproximal wall of a tooth during the placement of the restorative dental material.

Answers

A matrix is a metal or plastic strip used to replace the missing interproximal wall of a tooth during the placement of the restorative dental material.

But now, scientists are trying out sealing interproximal incipient caries.False or True.

At first, they were worried that sealants would keep germs in the pit and cause caries to spread. Dental sealants are typically applied on the chewing (occlusal) surface of the posterior permanent teeth, such as the molars and premolars, to help protect them against caries. However, researchers are also experimenting with sealing interproximal incipient caries. This is due to the molars' and premolars' chewing surfaces' grooves, which make them susceptible to tooth decay. Cleaning in these locations can be challenging due to the depth of these depressions.

In these grooves, bacterial plaque accumulates, and the acid produced by the bacteria from this enamel demineralization plaque causes caries. Fluoride helps to protect dental decay surfaces and sealants, fill the grooves, and prevent tooth decay by preventing food from getting stuck there.

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The most significant challenge faced by foster families caring for infants and toddlers is:_______

Answers

The children are vulnerable physically and psychologically.

Foster parents with years of experience in shouldering this important responsibility will agree that there are many challenges and rewards. While it's impossible to anticipate every problem you may encounter as a caregiver, many problems and solutions are initially addressed in both training and ongoing training. To get in touch with a member of her local care team, check out our support contact list. Many of our foster parents would agree that many hardships, once overcome, lead to the highest benefits that can only be achieved through foster care.Case workers have the capacity to handle these precise issues. So if any of these issues overwhelm you, you should always contact us. Nursing is a team effort and no one should tackle these issues alone.

Therefore, the correct answer is vulnerability.

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The respiratory system works with the ____
from the body
system to add oxygen to the blood and remove carbon dioxide

Answers

Answer:

lungs

Explanation :

The respiratory system is the system responsible for the exchange of

The lungs and respiratory system allow us to breathe, so  They bring oxygen into our bodies (called inspiration, or inhalation) and then send carbon dioxide out (called expiration, or exhalation). This exchange of oxygen and carbon dioxide is called respiration

Answer:

The circulatory system

Explanation:

The respiratory system works with the  circulatory system

from the body

system to add oxygen to the blood and remove carbon dioxide

What dietary supplement ingredient has been tested for its ability to improve memory in alzheimer's patients, but has produced only small and unreliable improvements in published research?

Answers

Ginkgo (Ginkgo biloba) is a plant that has grown in popularity due to suggestions that it boosts memory and may be used to treat or prevent Alzheimer's disease and other forms of dementia.

What is Alzheimer's disease?

A degenerative neurologic condition called Alzheimer's disease results in the death of brain cells and brain shrinkage. The most frequent cause of dementia, which is characterized by a steady deterioration in mental, behavioral, and social abilities and impairs a person's capacity for independent functioning, is Alzheimer's disease.

The disease's early symptoms include forgetting recent conversations or experiences. A person with Alzheimer's disease will have severe memory loss as the condition worsens and lose the capacity to do basic tasks.

Symptoms may momentarily get better or progress more slowly with medication. These therapies occasionally enable persons with Alzheimer's disease to maintain independence and optimize function. Numerous services and programs are available to assist those who have Alzheimer's disease and those who care for them.

There is currently no known medication for Alzheimer's disease that can stop the illness's progression in the brain. Death occurs in advanced stages of the illness as a result of complications from significant loss of brain function, including dehydration, starvation, and infection.

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Single-used gloves are not required when
a. the food handler has a latex sensitivity
b. cleaning stationary equipment
c. washing produce
d. handling cooked food

Answers

Answer:

b.cleaning stationary equipment

When an 86-year-old client reports an inability to concentrate, uneasiness, lightheadedness, weakness, muscle and joint discomfort, and demonstrates normal temperature, the clinic nurse recalls that?

Answers

The clinic nurse should recall that an older adult can have an infection without a fever.

What causes inability to concentrate, uneasiness in older clients?

Both older children and adults who experience a stressful event may have separation anxiety disorder.

Infection can also cause an 86-year-old client to report inability to concentrate, uneasiness, lightheadedness, weakness, muscle and joint discomfort, while still demonstrating normal temperature.

Thus, the clinic nurse should recall that an older adult can have an infection without a fever.

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A 30-year-old athlete with a resting heart rate of 50 beats/min is training at 60% of her maximal heart rate. using the karvonen method, what is her exercise heart rate?

Answers

Her exercise heart rate will be 134.

The Karvonen method is a mathematical formula that helps us in calculating a person’s maximum heart rate during exercise.

The formula is

Exercise Heart Rate = { (Max Heart Rate - Resting Heart Rate) x %age intensity} + Resting Heart Rate

The maximum heart rate is calculated  by subtracting the age of the person from 220.

In the above case, its value is 220-30 = 190.

Applying the given values in the above equation,

EHR = { (190 - 50) } x 60% } + 50

EHR = 134

Therefore, her exercise heart rate will be 134.

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The nurse is explaining to the new breastfeeding mother the types of neonatal stools the mother can expect. which examples does the nurse provide?

Answers

The example which the nurse should provide to the breastfeeding mother of neonatal stool includes:

Golden yellow, a pasty consistency, and sour odor is expected.Neonate's first stool is passed within the first 24-48 hours.

What does breastfeeding mean?

The process of feeding a child human breast milk is referred to as breastfeeding or nursing. Before being delivered to the kid, breast milk may be taken directly from the mother's breast, expressed by hand, or pumped. According to the World Health Organization, breastfeeding should begin during the first hour of a newborn's life and should continue as frequently and as much as the baby desires (WHO). The WHO and other health organizations suggest exclusively breastfeeding for six months.

Stool in breastfed infants turns golden yellow, pasty, and sour in flavor. Within 24 to 48 hours after delivery, meconium stools start to form during the fourth gestational month and are passed.

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In the united states, which substance is the most common cause of injury to the fetal brain?

Answers

Alcohol is the most common cause of injury to the fetal brain

Pregnancy drug use affects an estimated 1 million women in the United States each year, increasing the chances that the fetus will suffer a variety of adverse health effects. The harmful effects of alcohol and nicotine on the fetus are well known, but the effects of illicit drugs on the fetus are less clear. Drugs can harm the fetus directly or indirectly, depending on how they affect the placenta and impair the transport of nutrients. Also, due to their high lipophilicity, drugs are more likely to reach the fetal brain and other organs in significant concentrations. Ultimately, it focuses on how it influences behavior.

Therefore, the correct answer is alcohol.

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The health care sector constituted what percentage of the u.s gross domestic product in 2014?

Answers

The health care sector constituted 5 percent of the u.s gross domestic product in 2014.

What is gross domestic product?

The total dollar worth of all completed goods and services produced in a nation during a given time period is known as the gross domestic product (GDP). An estimate of a country's GDP can be used to determine the size and growth rate of its economy.

Businesses that offer medical services, produce medical supplies or medications, offer medical insurance, or in some other way help patients receive healthcare make up the healthcare sector.

In conclusion, the health care sector constituted 5 percent of the u.s gross domestic product in 2014.

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Which is the best reason to use a table to organize data?
Tables are useful for presenting and analyzing simple numeric data collections.
Tables often make it easy to spot trends and compare values for data over time.
Tables are the most common method of numeric data collection and presentation format.
Tables are more efficient than any other method to show trends, patterns, and relationships.

Answers

Visual representations include graphs and tables. They are employed to arrange data in a way that reveals trends and connections.

By displaying this data as a shape, a graph may be used to display it. Tables and graphs are frequently used by scientists and researchers to present the results of their work.

A table makes it easier to see how the data relate to one another and to assess the data more efficiently.

Once your data is arranged in a table, it is simpler to assess and decide whether a graph or a chart would be beneficial. A table also makes it simpler to enter data into a graph or chart.

The effective creation of tables enables researchers to display data about tens or hundreds of people effectively and with notable visual appeal, increasing the results' readability and hence the information's attraction to users.

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What six characteristics do making responsible decisions demonstrate?

Answers

Answer:

The criteria of decision making include....

• Is it safe?

• Is it legal?

• Does it conflict with other responsibilities?

• Is it right for your child’s age?

Will it help him learn and mature?

• Will it harm or inconvenience others?

• Could it harm your child’s self-confidence and

happiness?

I hope this helps!

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Have an amazing day!

A patient who has had an open reduction and internal fixation (orif) of a hip fracture tells the nurse that he is ready to get out of bed for the first time. which action should the nurse take?

Answers

A patient who has had an Open Reduction and Internal Fixation (ORIF) of a hip fracture tells the nurse that he is ready to get out of bed for the first time. The action the nurse should take is: (2) Check the postoperative orders for the patient's weight-bearing status.

ORIF is the surgery perform to mend the severe fractures. This is performed when the bones are broken into pieces or are dislocated from their original position. The use of external objects is done to mend the bones. The objects can be discs, screws, wires or rods.

Post-operative weight bearing should always be assessed because if the patient lifts objects of more than the assigned weight, it can cause damage to the operated region. It can cause to wounds to open again followed by excessive bleeding. This can worsen the condition.

The question is incomplete, the complete question is:

A patient who has had an Open Reduction and Internal Fixation (ORIF) of a hip fracture tells the nurse that he is ready to get out of bed for the first time. Which action should the nurse take?

Use a mechanical lift to transfer the patient from the bed to the chair.Check the postoperative orders for the patient's weight-bearing status.Avoid administration of pain medications before getting the patient up.Delegate the transfer of the patient to nursing assistive personnel (NAP).

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A student may choose to attend any member high school (public or non-public) and be eligible insofar as transfer is concerned?

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A student may choose to attend any member high school (public or non-public) and be eligible insofar as transfer is concerned at the beginning of grade 9 only.

The word insofar is a bit out-of-date and uncommon these days, but it's an excellent way to describe doing something to a certain degree or extent. For example, you might say, "I will get my math homework done inasmuch as I can."

In American and Canadian English, the preposition and adverb insofar, which means to such an extent, are combined into a single word. In English dialects from outside of North America, it has traditionally been three words, though the one-word variant is gaining popularity elsewhere.

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With a patient who is administered an injection of colony stimulating factor (csf), you would expect to see ________.

Answers

In a patient who is administered an injection of the colony stimulating factor (CSF) it is expected to see an increased white blood cell count (i.e., WBCC) regarding normal values.

What is the colony stimulating factor?

The colony-stimulating factor (also abbreviated as CSF) can be denoted as specific protein factors linked to carbohydrates (glycoproteins) capable of binding with receptors present on the cell membrane of hemopoietic stem cells.

These are hemopoietic stem cells are associated with the production of white blood cells, thereby it can increase the white blood cell count too excesive abnormal values, e.g., 5,000 to 11,300 white blood cells per microliter.

In conclusion, with a patient who is administered an injection of the colony stimulating factor it is expected to see an increased white blood cell count (i.e., WBCC) regarding normal values.

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If someone in an accident suffered severe burns as well as hemorrhage, they would be at high risk for?

Answers

If someone in an accident suffered severe burns as well as hemorrhage, they would be at high risk for volume depletion.

Volume depletion is known as extracellular fluid (ECF) volume contraction. It generally occurs as a result of loss of total body sodium with water. The main causes include vomiting, severe bleeding, diarrhea, excessive sweating, kidney failure, etc.  

Volume depletion is diagnosed in people at risk after an accident, excessive fluid loss after workouts, or in people with some renal disorders. The diagnosis is often done clinically. An easy way to determine fluid loss is by comparing the weights before and after the loss.

It is generally treated with the replacement of sodium and water with deficit amounts. The person would also be advised to increase daily fluid intake.

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A nurse educates a patient about the antipsychotic medication regime. afterward, which comment by the patient indicates the teaching was effective?

Answers

The answer to the question is Taking this medication regularly will reduce the severity of my symptoms.

What are symptoms?

Only the person who is experiencing a symptom can identify less evident disruptions in normal function such a stomachache, lower back pain, or weariness. Due to the subjective nature of symptoms, others can only be made aware of them by the person experiencing them.

Three main symptom categories are as follows:

Symptoms that return: Symptoms are referred to as remitting symptoms when they fully disappear or get better. Examples include the common cold, whose symptoms may last several days before going away on their own.

Chronic symptoms are persistent or reoccurring symptoms. Chronic illnesses like frequently exhibit chronic symptoms.

Relapsing symptoms are those that have previously appeared, disappeared, and then come again. 

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Whats the difference between Marijuana and Cannabinoids?

Answers

Answer:

Cannabis is a plant that makes a thick substance full of compounds called cannabinoids. There are more than 100 of these chemicals in cannabis. They cause drug-like reactions in your body. CBD (cannabidiol) and THC (tetrahydrocannabinol) are the most common cannabinoids found in cannabis products.

Explanation:

.

Using the disc model, a client described as people-oriented would most likely display which two personality characteristics?

Answers

Using the disc model, a client described as people-oriented would most likely display dominance and steadiness personality characteristics.

There are 4 personality characteristics in total in DISC model which are

D: DOMINANCE—This vogue is each daring and skeptical. ...

i: INFLUENCE—This vogue is each daring and acceptive. ...

S: STEADINESS—This vogue is each cautious and acceptive. ...

C: CONSCIENTIOUSNESS—This vogue is each cautious and skeptical.

A DiSC assessment is a personality assessment that businesses and different organizations typically use to see employees' and managers' leadership strengths and weaknesses. It aims to supply a lot of awareness and insight, doubtless up operations and cooperation.

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The __________ describes a standard process for communities to identify the threats and hazards they face and define measurable targets for each core capability.

Answers

The Comprehensive Preparedness Guide 201 describes a standard process for communities to identify the threats and hazards they face and define measurable targets for each core capability.

What is Comprehensive Preparedness Guide 201 ?

This Threat and Hazard Identification and Risk Assessment (THIRA) guide provides a comprehensive approach for identifying and assessing risks and associated impacts. It expands on existing local, tribal, territorial, and state Hazard Identification and Risk Assessments (HIRAs) and other risk methodologies by broadening the factors considered in the process, incorporating the whole community throughout the entire process, and by accounting for important community-specific factors. The THIRA guide outlines a methodical procedure: Step One assesses the various threats and hazards facing a community of any size. The community's susceptibility to those hazards is evaluated in Step 2 using a variety of time, season, location, and community factors.The community's impact from these threats and hazards is estimated in steps three and four, and capability targets are set using the framework of core capabilities. In order to establish a solid foundation for planning and preparedness actions across prevention, protection, mitigation, response, and recovery, Step Five summarizes the findings of the THIRA process.

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What is the recommended minimum protein intake for sedentary, generally healthy individuals?

Answers

0.8 grams of protein per kilogram of body weight is the recommended protein intake for a sedentary and generally healthy individual.

What is protein intake?

A sedentary adult should ingest 0.8 gram of protein per kilogram of body weight, or 0.36 gram each pound, according to the Dietary Reference Intake report for macronutrients. That implies the average sedentary guy should have 56 grammes of protein per day, while the average woman should consume 46 grammes.

Proteins are like building blocks for our bodies. They are the constituents of our organs, tendons, hormones, and, of course, muscles. However, it is the final item on the list that receives the most attention when it comes to protein consumption and exercise. You've undoubtedly seen your fair share of protein drinks at your local gym.

Therefore, an intake of 0.8 gram per kg is healthy protein intake.

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Venlafaxine is an antidepressant that has become more popular with adults in treating their depression. why has it become more popular? Do you believe that Napoleon was more of a hero for democracy or more of a villain? Back up your answer with at least 2 examples. which of the following factors contribute to economic growth? an increase in population. an increase in population. an increase in the standard of living. an increase in the standard of living. a decrease in the productivity of labor. a decrease in the productivity of labor. an increase in capital depreciation Which is one of the major criticisms of the evolutionary perspective in psychology? unit 3 True or false? lupus erythematosus is characterized by widespread damage to fibrous connective tissue in the skin, articular tissues, heart, serous membranes, and kidneys. Leo's bakery made three dozen batches ofcookies. Each batch of cookies made 26 cookiesHow many cookies did the bakery make? Multicultural literature is defined as books celebrated as a way to promote cross-cultural understanding by examining the different value systems, histories, traditions and:______. When some features of a musical idea are changed, but others are retained, the technique is referred to as? During a public offering a preliminary registration statement that must be filed with sec; this statement describes the issue and the prospects of the company. it is called the :_________ A ______ driven project portfolio system can reduce or eliminate the impact of problems in project implementation. Find the surface area of the cube shown below. A. 66 cm2 B. 121 cm2 C. 726 cm2 D. 1,331 cm2 The ratio of circumference/diameter for all circles is pie. what is the ratio of force/mass for all freely-falling bodies? Which questions would be the most helpful for Miraleeto ask to choose a new dentist? Check all that apply.What services do you provide?What certifications do you hold?E What health insurance do youtake?Do you have any well-known clients?How many yearshave youbeen practicing?Which procedures do you enjoy performing themost? While evaluating a patient with chest pain, your partner tells you that the patient's blood pressure is 140/94 mm hg. the lower number represents the pressure from the? Exercise 2 Rewrite the sentences below by inverting the order of the subjects and predicates. Tiny fish swam beneath the surface of the pond. What is b in this equation? -16 = 0.2b A _____ lists the tasks, duties, and responsibilities that a particular job entails. the formula for the volume of a cylinder is v = r2h. The cylinder to the right has an exact volule of 500 cubic meters. Find its height Which sentence correctly places the slash mark between the subject and predicate of the sentence?Four groups of four soldiers watched over Peter in jail.Four groups / of four soldiers watched over Peter in jail.Four groups of four soldiers / watched over Peter in jail.Four groups of four soldiers watched / over Peter in jail. Four groups of four soldiers watched over Peter/in jail. Find the distance between each pair of points (2,-8) and (5,-6)(-6,3) and and (5,6)(1,5) and (7,-3)(-1,4) and (0,-4)(1,-3) and (-7,-4)(-7,-6) and and (1,0)(-3,-5) and and (-1,-8)(1,8) and (-6,-1)(2,-8) and (-4,-1)