the nurse is preparing to administer ear drops to a client who has impacted cerumen. before administering the drops, the nurse will assess the client for which contraindications? select all that apply.

Answers

Answer 1

Allergy to medication, Evidence of a fungal infection, and Conductive hearing loss in the affected ear.

In accordance with the panel's strong recommendations, physicians should treat cerumen impaction that results in patient-reported symptoms or, as appropriate, symptoms that interfere with clinical evaluation. The panel notes that clinicians should: 1) diagnose cerumen impaction if cerumen accumulation is associated with symptoms, interferes with evaluation of the ear in need of cerumen accumulation (the ear canal or tympanic membrane), or both; and 2) history and/or physical examination evaluation of factors that modify impaction management in patients with cerumen. During the visit, the physician should test the hearing aid patient for earwax impaction (testing no more frequently than every 3 months is considered necessary). 4) Clinicians should provide appropriate interventions for patients with cerumen impaction. This may include one or more of cleaning, cermenolytics, or non-cleaning manual removal.

Therefore, there can be a number of contraindications in the given case.

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Related Questions

A newborn has melena, bleeding from the umbilicus, and hematuria. the newborn most likely experiencing:_____.

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A newborn has hematuria, melena, and umbilical hemorrhage. The infant is probably feeling Vit. K deficiency bleeding.

What is bleeding?

Blood leaving from the circulatory system through broken blood vessels called bleeding, hemorrhaging, haemorrhaging, or losing blood. A wound in the skin or a natural hole like the mouth, nose, urethra, vagina, or anus can cause bleeding to occur either internally or outwardly. Massive blood volume loss, or hypovolemia, is known as exsanguination, and it is the death caused by severe blood loss. When compared to blood donation, which normally uses 8–10% of the donor's blood volume, a healthy individual can typically tolerate a loss of 10–15% of their entire blood volume without experiencing major medical problems. Hemostasis, which refers to the act of regulating or halting bleeding, is a crucial component of both surgical and first aid procedures.

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the nurse is performing bilateral comparison of pulse sites for strength and quality instead of counting the beats per minute. which pulse locations will the nurse palpate to gather this assessment data? select all that apply.

Answers

a) Femoral

b) Dorsalis pedis

d) Popliteal

e) Posterior tibial

Arteriosclerosis information is obtained from the moment the arterial pulse wave propagates. The time between the three reference points (paw, first derivative, peak) of the R-wave (ECG) and photoplethysmograph (PPG) pulse wave is called pulse arrival time (PAT). Taking measurements on the contralateral arm as a reference could be a solution to the large differences in her PAT values ​​between patients. However, anatomical differences in arm arteries may offset PAT. In addition, pulse wave waveforms can change as arteriosclerosis decreases (e.g. after axillary block or his AxB) and pulse wave amplitude increases (vasodilatation). A total of 30 minutes with local anesthesia injection.

Therefore, there are a number of sites.

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In a(n) _____________ research design, baseline and treatment conditions are conducted in rapid succession and compared to each other.

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In an alternating-treatments research design, baseline and treatment conditions are conducted in rapid succession and compared to each other.

The length of the baselines varies. Differentiate between various baseline designs across people, behaviors, and contexts. The basic reversal design has close cousins that enable the study of many treatments. A researcher might, for instance, create a baseline for analyzing a disruptive student's behavior (a) before introducing a therapy that. Treatment is given gradually. Treatment is given gradually.

Treatment is given gradually. If there are numerous time series, each of which receives the manipulation or intervention at a distinct moment in time, one can be more certain that the manipulation of an independent variable was what caused a change in the time series.

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The first destination for absorbed nutrients is the __________, transported via the __________.

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Answer:

liver; hepatic portal vein

Explanation:

Which method of drug excretion excretes most drugs in their original,unmetabolized form?
1) exhalation
2) defecation
3) sweating
4) urination

Answers

Answer:Urine flowBlood flow through the kidneysThe condition of the kidneys

Explanation:

A 65-year-old female patient is complaining of chest pain. the patient is at a dialysis center and is currently connected to the dialysis machine. you should:_______.

Answers

A 65-year-old female patient is complaining of chest pain. The patient is at a dialysis center and is currently connected to the dialysis machine. you should request the dialysis staff to disconnect the patient.

A treatment for those whose kidneys is failing is dialysis. Your kidneys do not properly filter blood when you have renal failure. Wastes and poisons accumulate in your bloodstream as a result. Your kidneys' job of eliminating waste and extra fluid from the blood is performed by dialysis.

Hemodialysis involves removing blood from your body, cleaning it in an artificial kidney called a dialyzer, and reintroducing it to your body. This three to five-hour procedure might happen in a hospital or a dialysis facility.

Hemodialysis can be performed at home as well. You could require shorter sessions of at-home therapy four to seven times each week. You might decide to perform hemodialysis at home while you sleep at night.

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The phase of the action potential characterized by a sharp, tall upstroke of the curve and the cell receives an impulse from a neighboring cell and depolarizes is called?

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Depolarization is the phase of the action potential characterized by a sharp, tall upstroke of the curve.

What is depolarization?

In science, depolarization or hypo-polarization is a change inside a phone, during which the phone goes through a change in electric charge conveyance, bringing about more positive charge inside the phone contrasted with the outside.

Depolarization is fundamental for the capability of numerous cells, correspondence among cells, and the general physiology of an organic entity.

Most cells in higher living beings keep an inward climate that is adversely charged comparative with the cell's outside.

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The nurse would question the health care provider who prescribed nonsteroidal anti-inflammatory drugs (nsaids) for which client?

Answers

The doctor would be specific for sure

a client is hospitalized 3 days prior to a total hip arthroplasty and reports a high level of pain with ambulation. the client has been taking warfarin at home, which is now discontinued. to prevent the formation of blood clots, which action should the nurse take?

Answers

Administer the prescribed enoxaparin (Lovenox).

The anticoagulant enoxaparin sodium is sold under brand names such as Lovenox. It is used to treat and prevent pulmonary embolism and deep vein thrombosis, especially during pregnancy and after some types of surgery. Heart attacks and acute coronary syndromes are also treated. A prescription drug called Lovenox is used to treat and prevent signs and symptoms of chest pain and blood clots (deep vein thrombosis or DVT) (angina). Lovenox can be taken alone or with other medicines. Lovenox belongs to a class of drugs known as cardiovascular and blood anticoagulants. Tell your doctor if you have side effects that bother you or that don't go away.

Therefore, enoxaparin must be injected in such cases.

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A client infected with human immunodeficiency virus (hiv) has a low cd4 level. what intervention should the nurse implement?

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The nurse should (c) place the client in reverse isolation.

The virus known as HIV (human immunodeficiency virus) targets the immune system of the body. AIDS can develop from HIV if it is not treated (acquired immunodeficiency syndrome). There isn't a remedy that works right now.

People who get HIV are permanently infected. But HIV can be managed with the right medical attention. The amount of immune system deterioration in a person with HIV is determined by CD4+ levels in the blood of the person.

The test does not specifically detect any illnesses, but it does show the person's risk of an opportunistic infection. Other diagnostic procedures are used to identify viral loads and resistance to certain antigens. Isolation is advised due to the risk involved with the customer.

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Question correction:

In a client infected with human immunodeficiency virus (HIV) has a low CD4 level. What interventions should the nurse implement as a result of this finding?

a) Request human granulocyte colony-stimulating factor to improve WBC production.

b) Provide antibiotics as per order.

c) Place the client in reverse isolation.

d) Increase nutritional protein with each meal.

Why is it advised that some pharmacological agents be ingested orally in the presence food?

Answers

It is advised that some pharmacological medicines be ingested orally in the presence of food since some pharmacological agents are absorbed poorly. As a result, when a drug is taken with food, the food increases splanchnic blood flow, which in turn accelerates the rate of drug absorption by bringing more blood to the abdominal organs that are involved in absorption.

What do you understand by pharmacological agents?

A drug that is biologically active and is administered to the body pharmacologically for its therapeutic effects on one or more tissues or organs.

Formulations equipped with the transport nano systems have been developed for such pharmacological agents as doxorubicin, rifampin, budesonide, chlorin E6, prednisone, and others.

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An ongoing clinical protocol at your site includes weekly blood draws to assess an exploratory endpoint. unfortunately, participants are not happy about visiting the clinic weekly, and they are considering dropping out. therefore, a protocol amendment is being prepared to remove the weekly blood draw. this change can be implemented:

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An ongoing clinical protocol at your site includes weekly blood draws to assess an exploratory endpoint. Unfortunately, participants are not happy about visiting the clinic weekly, and they are considering dropping out. Therefore, a protocol amendment is being prepared to remove the weekly blood draw. This change can be implemented once the protocol is finalised and submitted to the FDA.

What is the FDA?

The Federal Food and Drugs Act, which was passed in 1906, led to the creation of the Food and Drug Administration (FDA). The organisation is divided into divisions, each of which is in charge of the majority of the organisation's responsibilities relating to food, medicines, cosmetics, animal food, nutritional supplements, medical devices, biological products, and blood products.

The FDA is renowned for its efforts to control the creation of new medications. All new pharmaceuticals must undergo clinical trials, according to regulations set down by the FDA. Before medicines may be offered to humans, pharmaceutical companies must put them through four stages of clinical testing.

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Which laboratory test is conducted during the initial prenatal visit? one, some, or all responses may be correct.

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The test conducted during the initial prenatal visit is: (3) Cervical culture for Neisseria gonorrhoeae.

Prenatal visit is the visit to the doctor or medical professional before giving birth to the child or the gestation period. Certain tests are performed at every visit and a regular check of the vitals of the body is kept. The visits are conducted in regular intervals of time as suggested by the doctor.

Cervical culture for Neisseria gonorrhoeae is performed during the initials visits of pregnancy because the infection can be transferred from the mother to the child. Also, the infection is known to the reason for pre-mature birth or other life-threatening conditions.

The question is incomplete, the complete question is:

Which laboratory test is conducted during the initial prenatal visit? One, some, or all responses may be correct.

1-hour glucose tolerance test3-hour glucose tolerance testCervical culture for Neisseria gonorrhoeaeChest x-ray for a positive tuberculosis skin test (TST)Group beta streptococcus (GBS) genital cultures.

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In a patient with post-traumatic stress disorder (ptsd), the emt would recognize that a patient is reliving an event when he states:_____.

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In a patient with post-traumatic stress disorder (PTSD), the EMT would recognize that a patient is reliving an event when he states : I am not sleeping well due to the nightmares that i am having.

Post-traumatic stress disorder is developed in people that have gone through a certain traumatic event in life. It includes feelings of loneliness, fear, nightmares, anxiety etc. when visiting a therapist a person may talk about how they are having nightmares and couldn't get enough sleep due to it.

While treating such patients having severe flashback and nightmares the EMT should be polite and sound like an affirmative person calming the patient in this condition.

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How many grams would 1 pt of HCl weigh with specific gravity of 1.16?

Answers

Specific gravity refers to the ratio between the density of a given substance and the density of a reference substance at the same temperature.

What is specific gravity?

Specific gravity of HCl given is 1.16. Specific gravity of a substance determine whether object floats or sink. Specific gravity determines the density of minerals.

SG=  density of HCl/ density of water.

density of HCl = 1.16 * 1.00 g/ ml = 1.16 g/ml.

Mass of HCl = 1+35.5 = 36.5 gram.

Density of substance = mass / volume.

1.16 = Mass/ 36.5

Mass= 1.16* 36.5

Mass= 42.34 grams.

Therefore, Specific gravity refers to the ratio between the density of a given substance and the density of a reference substance at the same temperature.

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While calculating the drug dose of anti-viral medications for children who have aids a pediatric nurse uses what?

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The child's weight

Children's antiviral medicine doses are determined by weight. There is no solid evidence to support dose adjustments depending on sickness severity or consequences. There is always the moral conundrum of utilizing youngsters in medication research. Children must be closely watched for harmful effects on the liver, bone marrow, and kidneys. Which medication is administered may depend on the disease's consequences and severity.

What is Antiviral drug?Antiviral medications belong to a group of pharmaceuticals used to treat viral infections.While most antivirals focus on particular viruses, broad-spectrum antivirals work against a variety of viruses.Contrary to most antibiotics, antiviral medications just prevent the growth of the infection they are intended to treat.Antiviral drugs aid your body's defences against certain viruses that might spread sickness. Additionally preventative, antiviral medications. They can guard you from catching viruses or passing them on to others.Antiviral medications are a subset of antimicrobials, which also includes antibiotics (also known as antibacterials), antifungal, antiparasitic, and monoclonal antibody-based antiviral medications.The majority of antivirals are thought to be generally safe for the host, making them useful for treating infections.

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Lesch-nyhan syndrome is caused by a x-linked recessive mutations. Accordingly, lesch-nyhan syndrome _______.

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Lesch-nyhan syndrome is caused by a x-linked recessive mutations. Accordingly, lesch-nyhan syndrome is a rare hereditary condition that results from a deficiency of the enzyme hypoxanthine-guanine phosphoribosyltransferase (HGPRT).

Lesch-Nyhan syndrome (LNS) is a rare, genetic disorder caused by a lack of the enzyme hypoxanthine-guanine phosphoribosyltransferase (HPRT). LNS is an X-linked recessive condition, which means that the mother carries the gene and passes it on to her son. LNS is present in infant boys from birth.

The deficiency of HPRT promotes uric acid buildup in all bodily fluids, resulting in symptoms such as uncontrollable movements and self-mutilation. These abnormal muscular movements include ballismus and dystonia chorea.

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You are working on a drug to affect heart function, and you are told to direct the drug to change the relaxation of the ventricles. if your drug is successful, it will alter?

Answers

It will alter diastolic pressure when you are working on a drug to affect heart function, and you are told to direct the drug to change the relaxation of the ventricles and if your drug is successful.

Blood pressure is the amount of force that the heart's blood flow exerts against the artery walls. When a medical expert takes your blood pressure, they wrap a cuff that progressively tightens over your arm. Two numbers represent the outcomes.

Systolic blood pressure, or the first number, represents the pressure brought on by your heart beating and pumping blood. The pressure when your heart relaxes and fills with blood is represented by the second number, called diastolic blood pressure.

Systolic blood pressure is calculated by dividing the diastolic blood pressure by the systolic blood pressure. These two figures are used to categorize different blood pressure levels.

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The cell membrane controls materials entering and leaving the cell. This is necessary for the cell to acquire substances from its environment to be processed for use and secretion, and for excretion of waste materials. Describe the six processes by which materials pass through a cell membrane.

Answers

The biological membrane known as the "cell membrane"—also called the plasma membrane or the cytoplasmic membrane—keeps the interior of all cells isolated from the outside world.

The transport of substances into and out of cells is regulated by the cell membrane, which is selectively permeable to ions and organic molecules. The cell membrane's primary job is to shield the cell from its environment.

It is possible for chemicals to migrate across the membrane in a "passive" or "active" manner, depending on whether the cell needs to expend energy to do so. The membrane also preserves the potential of the cell. Thus, the cell membrane functions as a picky filter that only permits particular items to enter or leave the cell.

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The nurse is caring for a client with allergic rhinitis who takes clemastine daily. what should the nurse teach the client about the action of the medication?

Answers

The nurse should teach the client with allergic rhinitis who takes Clemastine daily that it blocks the effects of histamine.

Hay fever, also known as allergic rhinitis, is an allergic response that causes congestion, sneezing, an itchy nose, and a sore throat. Clemastine inhibits histamine action at histamine-1 receptor sites, reducing allergic reactions. It's used to cure allergic rhinitis. Both ventricular and atrial dysrhythmias are treated with antiarrhythmic medications.

Beta-hydroxy-beta-methyl glutaryl coenzyme A reductase blockers are administered to lower blood cholesterol by competitively hindering the rate-limiting liver enzyme. Β2-adrenergic nerve cells in the bronchi and bronchiole smooth muscles are stimulated by beta-adrenergic agents, which cause bronchodilation.

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Which medication form is commonly prepared for administration by parenteral routes?

Answers

Powder and solution are the medication forms commonly prepared by medical practitioners for the administration of parenteral routes

Parenteral relates to the route by which medication enters the body. Parenteral medications are administered through the circulatory system and tissue via injection. Injection medications are more quickly absorbed and are administered to nauseated patients, throwing up, are unable to take oral fluids, or struggling to swallow.

When prepared and given correctly, parenteral medications may be effective and safe. However, since they are intrusive and quickly absorbed into the human body, there are multiple risks associated with using them.

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A 74-year-old female patient presents with melena and dyspepsia. you also observe jaundice. you should suspect:_____.

Answers

You should suspect GI bleeding in a 74-year-old female patient presenting melena and dyspepsia symptoms along with Jaundice symptoms

GI bleeding is a sign of a problem in the digestive system. Blood is frequently found in vomit or stool but is not always noticeable, although it could end up causing the stool to appear black or tarry: melena. The patient might also experience dyspepsia, also known as indigestion.

The bleeding can vary from moderate to severe and can be fatal. Any of these body parts can experience GI bleeding. Upper GI bleeding occurs when bleeding occurs in the digestive tract, stomach, or first section of the duodenum. Lower GI bleeding is in the lower duodenum, large intestine, or rectum.

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The nurse is to administer medications to a client with a nasogastric tube. what action should the nurse implement when administering the medications? *

Answers

When administering medications to a client with a nasogastric tube, the nurse should implement the following steps when administering the medications

1. Check the residual volume.

2. Aspirate the stomach contents.

3. Turn off the suction to the nasogastric tube.

4. Test the stomach contents for a pH indicating acidity.

A nasogastric tube is a unique tube that travels through the nose to the stomach to deliver medicine and food. It is suitable for all meals or to provide extra calories to a person. You must learn to care for the tubing as well as the skin around the nasal passages to ensure that the skin does not become irritated.

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What information is needed in order to be prepared for an emergency? select one or more

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The  information needed in order to be prepared for an emergency are:

Location of lab phone and first aid kitContact information for emergency personnelUnderstanding of where to go should an emergency occurLocation of all exits

First Aid Kit- First aid, is the essential assistance given in the event of a small or significant accident or sickness prior to the use of expert medical assistance, such as doing CPR while waiting for an ambulance. It guarantees that the problem won't become worse and encourages rehabilitation.

CPR- A technique used in emergency situations to restore someone's breathing and heartbeat when either one or both have ceased. In order to maintain blood flow throughout the body, it entails pushing the chest hard and quickly.

The given question is incomplete, find below the complete question,

Q. What information is needed in order to be prepared for an emergency?

Select one or more:

Location of lab phone and first aid kitContact information for emergency personnelUnderstanding of where to go should an emergency occurFull inventory of all chemicals present in the labLocation of all exits

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When participating in care planning for a child who has been diagnosed with schizophrenia, the nurse should be aware of what fact?

Answers

A collection of severe, incapacitating mental illnesses collectively known as schizophrenia are characterized by a detachment from reality, irrational thinking, the potential for delusions and hallucinations, as well as emotional, behavioral, or intellectual instability.

What do you mean the schizophrenia?

Schizophrenia is a severe mental illness in which reality is perceived by sufferers strangely. Schizophrenia may include hallucinations, delusions, and severely irrational thinking and behavior, which can make it difficult to go about daily activities and be incapacitating. Schizophrenia patients require ongoing care. Early intervention may help keep symptoms under control before major issues arise and may enhance the prognosis in the long run. A variety of issues with behavior, emotions, and thinking (cognition) are present in schizophrenia. Although there are many different signs and symptoms, they typically entail delusions, hallucinations, or slurred speech and indicate a reduced capacity for function.

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The existence of prevention methods for some types of cancer means it is appropriate to assign blame for the disease to people with cancer.
a. true
b. false

Answers

False, it is inappropriate to assign blame for the disease to people with cancer because prevention methods exist for some types of cancer.

What is cancer?

A set of disorders known as cancer involve aberrant cell proliferation and have the ability to invade or spread to different bodily regions. These stand in contrast to benign tumors, which do not spread. A lump, unusual bleeding, a persistent cough, unexplained weight loss, and a change in bowel habits are some of possible signs and symptoms. These signs of cancer might be present, but there may be other causes as well. About 100 distinct forms of cancer harm people.

About 22% of cancer fatalities are attributable to tobacco smoking. 10% more are attributable to obesity, a poor diet, inactivity, or excessive alcohol consumption.

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The palpable hip bone projections in the front of the body felt when you put your hands on your hips are the posterior inferior iliac spines. True or false?.

Answers

The given statement that the palpable hip bone projections in the front of the body felt when you put your hands on your hips is the posterior inferior iliac spines is False.

The anterior superior iliac spines can be palpable with hands on the hips. The anterior extremity of the pelvic iliac crest is referred to as the anterior superior iliac spine. This prominent surface feature is easily palpable.

The anterior superior iliac spine is the highest projection on the anterior border of the ilium, located at the intersection of the crest and anterior border. Its extremity allows attachment to the inguinal ligament and serves as the origin of the Sartorius, while its outer border provides attachment to the fascia lata and inner border to the Iliacus. The notch from which the Sartorius arises and through which the lateral femoral cutaneous nerve flows is located beneath this eminence.

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Osteoporosis commonly occurs in patients with end-stage renal disease because of?

Answers

Patients with end-stage renal disease frequently develop osteoporosis due to hyperparathyroidism.

What is hyperparathyroidism?

An rise in parathyroid hormone (PTH) levels in the blood is known as hyperparathyroidism. It can result from an issue with the parathyroid glands (primary hyperparathyroidism) or from a reaction to outside stimuli (secondary hyperparathyroidism). Inappropriately normal or raised blood calcium exits the bones and enters the bloodstream as a result of excessive parathyroid hormone synthesis, causing symptoms of hyperparathyroidism. When blood calcium levels are high, parathyroid hormone levels in healthy individuals should be low. Kidney stones are the most typical sign of chronic hyperparathyroidism. Other signs and symptoms could include increased urination, bone discomfort, weakness, sadness, and confusion. Osteoporosis may arise from both primary and secondary causes (weakening of the bones).

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When coding for poisoning (t46.1x1s, for example) in icd-10-cm, what character describes if it was accidental, self-harm, assault, or undetermined?

Answers

When coding for poisoning (t46.1x1s, for example) in icd-10-cm, sixth character describes if it was accidental, self-harm, assault, or undetermined.

ICD-10-CM- A method used by doctors and other healthcare professionals to categorize and label all diagnoses, symptoms, and treatments documented in connection with hospital care in the United States is called ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification).

ICD-10-CM code T46.1X1S is a billable/specific code that designates a diagnosis for financial payment.

Diagnosis- The process of identifying a disease, condition, or injury from its signs and symptoms. A health history, physical exam, and tests, such as blood tests, imaging tests, and biopsies, may be used to help make a diagnosis.

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The inferior vena cava delivers deoxygenated blood to which chamber of the heart?.

Answers

Answer:

right atrium

Explanation:

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