The nurse is prioritizing a client's care plan based on maslow's hierarchy of needs. what is an example of the nurse's first priority action?

Answers

Answer 1

Nurse's first priority action will be administering pain medication.

According to Maslow's hierarchy of needs, motivation theory, human behavior is determined by five categories of basic human needs. These needs include physiology, security, love and belonging, respect, and self-actualization needs. According to Maslow's theory of human motivation, basic needs are at the bottom of the pyramid and higher intangible needs are at the top. Once a person's basic needs are met at the appropriate level, they can move on to higher level needs. Physiological needs are the first of the eth-driven subneeds in Maslow's hierarchy. Security is next to more basic requirements. The third level of social requirements in Maslow's hierarchy relates to interpersonal relationships.

Therefore, administering pain medication is the correct answer.

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Related Questions

During an abdominal assessment the nurse is assessing for rebound tenderness. which response by the patient indicates a positive blumberg's sign?

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Patient states, "I felt a very sharp pain as you let up on the pressure to my stomach."

Peritonitis, a serious condition marked by peritoneal inflammation, is indicated by rebound tenderness. A common cause of this inflammation is an infection.

When the patient feels a sharp, stabbing pain when the examiner releases pressure from the abdomen, this is known as the Blumberg sign and the patient experiences rebound tenderness. It implies peritoneal sensitivity (as from appendicitis). Consider that place to be the source of discomfort if the patient complains of pain in a location different than the one the nurse is checking for rebound tenderness. Blumberg's sign is not correlated with nausea. When having cholecystitis, a patient would experience severe discomfort and hold his or her breath in reaction to pressure applied to the right costal margin (Murphy's sign).

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The nurse is caring for four newborns who have recently been admitted to the newborn nursery. which labor event puts the newborn at risk for an alteration of health?

Answers

Justification: 1. Newborn suffering is frequently caused by GBS (GBS) illness with early onset. GBS infection spreads from infected mothers to their infants during labor and delivery.

All babies born to mothers who have been identified as being at risk should be assessed and kept an eye out for sepsis symptoms.

A respiratory disorder of the lungs in babies.

Neonatal respiratory distress syndrome is more likely to affect premature infants delivered six weeks or earlier than their due dates (NRDS). It frequently manifests within the first 24 hours of birth.

Group B streptococcal infection

GBS, often known as group B strep, is a bacterial infection that commonly affects people (group B streptococcus).

Although adults are frequently immune to the disease, children and people with chronic disorders.

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A client asks you to design a nightclub that he owns. based on the lsc, what additional information do you need in order to determine the correct occupancy classification?

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A

The (Life Safety Code) LSC is a collection of fire safety regulations created to offer a respectable level of fire safety. It encompasses operational, protective, and building elements intended to offer safety from panic, smoke, and fire. The HCFC is a collection of specifications created to lay forth minimal standards for the installation, inspection, testing, maintenance, effectiveness, and safe practices for buildings, materials, appliances, and equipment. The NFPA, which was established in 1896 to further the research and advance fire prevention techniques, publishes The LSC and HCFC, which is routinely amended.

Compliance with the 2012 version of the NFPA, LSC and HCFC is a fundamental criterion for life protection against fire for establishments taking part in the Medicare and Medicaid programs.

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The nurse explains what it means based on the understanding that cellulitis has which characteristic?

Answers

Answer: An infection of the skin that spreads to the dermis and subcutaneous tissue

Explanation:

In a clinical trial of neural prosthetics with paralyzed humans, a 25-year-old man constructed shapes on a computer screen by activating neurons in his:____

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In a clinical trial of neural prosthetics with paralyzed humans, a 25-year-old man constructed shapes on a computer screen by activating neurons in his motor cortex.  

What is the motor cortex?

The motor cortex can be defined as a specialized tissue located in the area of the frontal lobe of the cerebrum, thereby located both in the left brain hemisphere and right brain hemisphere.

This layer (motor cortex) plays fundamental roles in different major skills of the nervous system including movement, planning activities, controlling aptitudes, etc.

In conclusion, in a clinical trial of neural prosthetics with paralyzed humans, a 25-year-old man constructed shapes on a computer screen by activating neurons in his motor cortex.

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A nurse is providing an anticipatory guidance class on safety for parents of preschool-age children. which interventions are important for the nurse to address during the class? select all that apply.

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A nurse is providing an anticipatory guidance class on safety for parents of preschool-age children and the interventions which are important for the nurse to address during the class include stranger awareness, and bicycle safety.

The law says that you simply, as a parent or guardian, area unit chargeable for the care and safety of your kids. As a caregiver, you need to confirm your kid has enough food and vesture, a secure place to measure, and health and tending. you need to offer your kids the emotional care and support they have to develop safely.

The major safety guideline for parents of a preschool age children is to tell  them to not cross the road while not with an adult. Hazard symbols mean “Danger. Stay away.”

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Which of the following terms refers to the number of beats per minute that you aim to achieve during a workout?
target heart rate
maximum heart rate
resting heart rate
metabolic rate

Answers

The correct answer is target heart rate is the term that refers to the number of beats per minute that you aim to achieve during a workout.

Your target heart rate is a number range that represents how fast your heart should beat when you exercise. "A higher heart rate is a good thing that leads to greater fitness," says a cardiologist at Johns Hopkins.

Subtraction of your age from 220 yields your maximum heart rate. If you're 45, for example, subtract 45 from 220 to get a maximum heart rate of 175. This is the maximum number of beats per minute your heart should have during exercise."Aim to be at your THR for 30 minutes most days of the week for daily exercise," she says. "The ACSM and CDC recommend that healthy adults spend 150 minutes per week in their THR zone."

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Although most people understand that healthy eating, as well as quitting smoking, can improve their general wellbeing, there are companies
who make millions of dollars on programs designed to help. Commercials for weight loss programs or nicotine gum abound. What conclusion
can be drawn from these constant advertisements?
OA Changing certain habits can be difficult.
OB.
Americans are becoming less health conscious.
OC.
Diet, exercise, and clean living are simple.
O D. Doctors agree on one specific way to change.

Answers

The conclusion which can be drawn from these constant advertisements of weight loss programs or nicotine gum is that changing certain habits can be difficult and is therefore denoted as option A.

What is a Habit?

This is described as when an individual does something routinely and is usually subconscious and examples include smoking, eating junks etc. certain habits can lead to unhealthy lifestyle of individuals and needs to be checked.

For example smoking increases the risk of individuals in having lung cancer and some people still do it because it has become a habit for them which is why some companies have provided products and awareness to help out.

Some companies have made weight loss programs or nicotine gum abound which will help curb it because they are aware that changing certain habits can be very difficult.

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Answer:

A

Explanation:

Changing certain habits can be difficult. just took test

The nurse is assisting to defibrillate a client in ventricular fibrillation. after placing the pads on the client's chest and before discharging the device, which intervention is a priority?

Answers

The correct option is "D" i.e Confirm that the rhythm is actually ventricular fibrillation.

What is ventricular fibrillation?

A particular type of aberrant heart rhythm is ventricular fibrillation (arrhythmia). Disorganized heart signals during ventricular fibrillation cause the ventricles, the lower heart chambers, to quiver (twitch) ineffectively. The heart consequently stops pumping blood to the body's other organs.

Cardiopulmonary resuscitation is used to revive the patient up until the defibrillator is connected and charged. The EKG is examined after the defibrillator has been connected to ensure that the rhythm is ventricular fibrillation or pulseless ventricular tachycardia. Additionally, leads are examined for any loose connections. If there is a nitroglycerin patch, it is taken off. Defibrillation can take place without intubating the patient. Because there is no underlying rhythm to synchronize with, the machine is not configured to operate in the synchronous mode. Amiodarone may be used after defibrillation but is not necessary.

Questions:

The nurse is assisting to defibrillate a client in ventricular fibrillation. After placing the pad on the client's chest and before discharge, which intervention is a priority?

a. Ensure that the client has been intubated.

b. Set the defibrillator to the "synchronize" mode.

c. Administer an amiodarone bolus intravenously.

d. Confirm that the rhythm is actually ventricular fibrillation.

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Although the newborn was just cleaned and examined, the mother notes a red rash consisting of small papules on the face, chest, and back of the newborn. which condition would the nurse recognize?

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Erythema toxicum

A benign, widespread, temporary rash called erythema toxicum develops on a newborn as a response to the unfamiliar surroundings. Shortly after birth, it vanishes. It's not the harlequin sign, which is when blood vessels enlarge on one side of the body, causing the skin to be red on one side and white on the other. It is not vernix caseosa, a thick, oily material that covers the skin in utero and is white and thick. The reddish-purple capillary angioma under the dermis known as nevus flammeus, or port wine stain, is not this.

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Which signs and symptoms would the nurse include when teaching a client about ketoacidosis? one, some, or all responses may be correct.

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The signs and symptoms that the nurse would include when teaching a client about ketoacidosis include malaise, generalized weakness, and fatigability.

Diabetes-related ketoacidosis (DKA)  can be a dangerous condition that affects people with diabetes and other people United Nations agency have diabetes which is undiagnosed. It happens once your body does not have enough internal secretion to use sugar for energy. Instead, your body breaks down fat for energy, that causes your body to unleash ketones.

Other symptoms of ketoacidosis  might embrace excessive thirst, frequent evacuation, nausea and inborn reflex in form of vomiting, abdomen pain, weakness or fatigue, shortness of breath fruity-scented breath and confusion.

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The nurse reviews goals established for a client with diabetes. Which laboratory finding suggests that the goal to control blood glucose level has been achieved?

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The nurse goes over the objectives set for a diabetic client. The laboratory result of 5.8% hemoglobin A1c indicates that the objective to regulate blood glucose level has been accomplished.

What do you mean by HbA1c?

Hemoglobin (Hb) that has been chemically bonded to sugar is known as glycated hemoglobin (glycohemoglobin, hemoglobin A1c, HbA1c, less frequently HbA1c, HgbA1c, Hb1c, etc., also known as A1C informally with patients). When present in human bloodstreams, the majority of monosaccharides, including glucose, galactose, and fructose, spontaneously (i.e., non-enzymatically) bind with hemoglobin. Galactose and fructose are more likely to do so than glucose (13% and 21%, respectively), which may help to explain why glucose serves as the main metabolic fuel in humans.

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To increase muscle strength, you should perform a _____________ number of repetitions using _____ weights. group of answer choices
a. high; heavy
b. low; light
c. low; heavy
d. high; light

Answers

To increase muscle strength, you should perform a low number of repetitions using heavy weights.

What is muscle strength?

Your ability to move and lift objects is correlated with your muscle strength. Your ability to lift a certain amount of weight for a brief period of time and apply force are the key performance indicators.

Workouts involving resistance, such as weightlifting, bodyweight exercises, and resistance band exercises, are a few examples of exercises that increase muscle strength and power. Hills can be climbed, as well as running and cycling.

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The nurse is reviewing the results of the complete blood count of a client who is diagnosed with bacterial meningitis. what value should the nurse expect to see elevated?

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The value that the nurse should expect to see elevated in the complete blood count of a client who is diagnosed with bacterial meningitis is Neutrophil count.

What is the neutrophil count?

The expression neutrophil count can be defined as the number of neutrophils observed in a given blood sample, which is useful to diagnose different infections such as in this case bacterial meningitis.

In conclusion, the value that the nurse should expect to see elevated in the complete blood count of a client who is diagnosed with bacterial meningitis is Neutrophil count.

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How would the nurse respond to a client who expresses malignancy fears associated with the pending bone biopsy report?

Answers

A client who raises concerns about malignancy in relation to the impending bone biopsy findings would receive an answer from the nurse.

"Waiting for a biopsy results is incredibly frustrating."

What is meant by the statement "Having to wait for a biopsy report is really unpleasant."

The statement "It is terribly unpleasant to have to wait for a biopsy report" acknowledges the client's fear is legitimate. Saying things like, "Worrying won't solve the problem," or "Let's wait till we find out what the biopsy report says," don't address the client's worries and may prevent them from expressing their emotions. It is irrelevant and does not allay the customer's anxieties to inform the client that operations are not carried out unless there are no other choices.

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a little girl at the local elementary school is writing symphonies for full orchestra at age 7. you’re curious to know the child’s personality and other psychological qualities. which type of study would you conduct?

Answers

Answer:

Interview, rating scales, self-reports, personality inventories, projective techniques, and behavioral observation.

Sometimes self-report questionaires.

I hope this helps!

If you need anything else just comment!

Have an amazing day!

Personality and other psychological qualities are used to determine the characteristic of the individual based on numerous factors. A case study can be conducted on the girl.

What is a case study?

A case study has been defined as the records that represent the behavior and experiences of the individual. It is a process that records the details of the community or the person showing the characteristic behavior.

It analyzes the personality and other psychological qualities of the individual that allows the understanding of the in-depth and thorough factors that are present in real-life situations. It allows the differentiation of the personality.

Therefore, case studies can be used to know and understand personality and other psychological qualities.

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Public health achievements during the 20th century are credited with changing the major causes of death from ________ to ________.

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Public health achievements during the 20th century are credited with changing the major causes of death from infectious diseases and chronic diseases.

What is public health?

Public health also known as community health refers to the process whereby several public institution work together to promote the health and wellbeing of individuals in a community.

Due to improvement in public health, mortality rate all over the world has dropped significantly.

In conclusion, public health is aimed at preventing, treating and managing diseases which affect the public.

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The nurse is caring for a patient who has developed sudden shortness of breath after a rapid infusion of iv solution. which action can the nurse delegate to the unlicensed assistive personnel (uap)?

Answers

The answer to the question is Raising the head of the bed.

What are the benefits of Raising the head of the bed?

Poor circulation, sleep apnea, snoring, acid reflux, multiple sclerosis, spinal injuries, and cerebral palsy are among the conditions for which sleeping on an incline is thought to be a potential treatment. Using an adjustable bed is the quickest, coziest way to get into this position. Many top-notch adjustable beds are offered online, along with top-notch mattresses that are compatible with adjustable beds, for those looking for the health advantages of inclined resting or Raising the head of the bed.

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The ______ is a measure of diet quality that assesses concordance with the u. S. Dietary guidelines for americans. This score is based on a 100-point scoring system with a higher score indicating a better diet quality.

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The Healthy Eating Index is a measure of diet quality that assesses concordance with the u. S. Dietary guidelines for americans. This score is based on a 100-point scoring system with a higher score indicating a better diet quality.

What is Healthy Eating Index?

A scoring system called the Healthy Eating Index (HEI) can be used to assess the overall quality of a diet as well as the quality of certain dietary components. The HEI is a gauge of diet quality that isn't dependent on dietary intake in order to determine how well the US Dietary Guidelines for Americans are being followed (DGAs).

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Identify a scenario in which a fitness professional is said to follow the principle of specificity.

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A scenario during which a fitness professional is said to follow the principle of specificity.

Jackie recommends the bench press exercise to her client Rick to strengthen his chest muscles.

What is principle of specificity?

The principle of specificity of coaching states that the way the body responds to physical activity is very specific to the activity itself. for instance , someone who jogs can expect that their jogging performance would approve also as their aerobic conditioning.

Why is that the principle of specificity important?

Specificity states that the body makes gains from exercise consistent with how the body exercises. This principle is vital because applying it correctly will allow one to have a focused, efficient, effective program which will lead to the desired gains.

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At approximately what frequency do most people perceive the least intense sounds?.

Answers

The least intensity is necessary for the frequency of about 3000 Hz.

The ear may react to a huge variety of intensities. The lowest intensity that the human ear can pick up at 3000 Hz is around [tex]10^-16[/tex] W/cm². A sound's maximum acceptable volume is at [tex]10^-4[/tex] W/cm². The threshold of hearing and the threshold of pain are the two extremes of the intensity spectrum, respectively. The eardrum and the ossicles may get permanently damaged by sound levels that are above the threshold of pain.

A sound that is a million times louder than another does not cause the ear to perceive it as louder by a million times. This is because the ear does not respond to sound intensity linearly. The ear's reaction to intensity is more akin to a logarithmic function than a linear one.

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Explain the effect of having too much protein in the diet.

Answers

Can make u go crazy

In which order would the nurse perform the listed actions when a primipara at 9 cm cervical dilation experiences a gush of fluid from the vagina?

Answers

The fetus's head is engaged and the cervix is dilated 9 cm when there is a gush of fluid from the vagina.

The nurse observes the umbilical cord protruding from the vagina of a client in labor. what action does the nurse do next?

An unusual but possibly fatal obstetric emergency is umbilical cord prolapse. The prolapsed cord is pinched between the fetal presenting portion and the cervix when this happens during labor or delivery.

A stillbirth or oxygen deprivation in the fetus can occur as a result of umbilical cord prolapse. During a pelvic exam, the prolapsed chord can be seen or felt to diagnose umbilical cord prolapse. An immediate birth of the infant is necessary in cases of acute obstetric emergency caused by umbilical cord prolapse. The standard delivery method is a cesarean section. Until a surgical section is performed, the doctor will physically elevate the fetal presenting portion to reduce cord compression. Thus, there is a lower chance of fetal oxygen loss. If the prolapsed cord issue can be resolved right away, there might not be any long-term damage. The likelihood that the infant will experience issues (such as brain damage or death) increases with the length of the delay.

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what is your favorite harry potter movie
i will give you 15 points if you answer it​

Answers

Harry Potter Chamber of secrets

A client has a history of dislocations of the same joint. the nurse understands that this is most likely due to an insufficient deposit of collagen during the healing process, leading to?

Answers

The condition is due to insufficient deposit of collagen during the healing process leading to reduced tensile strength.

What is a joint dislocation?

A joint is a location where two or more bones in the body come together. When the bones of a joint get split or knocked out of their normal locations, this is referred to as a dislocation. Dislocated joints can occur in any part of the body. A subluxation occurs when a joint is partly displaced.

Dislocations can be excruciatingly painful, causing the afflicted joint to become shaky or immovable (unable to move). They may also cause nearby tendons, muscles, or nerves to become strained or torn (tissue that connects the bones at a joint). You should get medical attention if you have a dislocation.

Therefore, the condition will be due to reduced tensile strength.

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Question 2 (4 points)
A product label gives you information about the ingredients in a product.
O True
O False

Answers

True Informed you on what caution and priorities and steps

The nurse cares for a child with hemophilia. what is the most important nursing goal?

Answers

The primary goals are as follows: the child will feel less pain. The child will maintain optimal physical mobility as shown by normal range of motion (ROM) and daily living activities that are within his or her ability. The family will deal with the child's illness effectively. Replacement therapy is the primary treatment for hemophilia.

Clotting factor VIII (for hemophilia A) or clotting factor IX (for hemophilia B) concentrations are carefully dripped or injected into a vein. These infusions help to replace coagulation factors that are deficient or absent. child with hemophilia should avoid taking blood-thinning drugs such as warfarin.

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Which characteristic of a skin lesion will the nurse report to the health care provider? (select all that apply.)

Answers

Characteristics of a skin lesion such as

Irregular border

•       Asymmetry

• Size increase from last month

are reported by the nurse report to the health care provider.

Some types of skin lesions:

Macules are nonpalpable, flat lesions with a diameter of 10 mm or less on average. Macules are changes in color rather than elevations or depressions in the skin’s surface.

A patch is an enormous macule. Examples include a variety of drug-induced allergic reactions, freckles, flat moles, tattoos, port-wine stains, rickettsia illnesses, rubella, measles (which can also result in papules and plaques), and freckles.

• Papules are raised lesions with a diameter of less than 10 mm that can be felt or palpated.

Examples include actinic keratoses, seborrheic keratoses, nevi, warts, lichen planus, and skin cancer.

The term maculopapular, which should be avoided due to its ambiguity and ease of misunderstanding, is commonly and incorrectly used to describe a variety of red rashes

Bullae are fluid-filled, translucent blisters that are 10 mm or larger. Burns, insect bites, irritant or allergic contact dermatitis, and drug reactions may cause them.

Traditional autoimmune bullous diseases include pemphigus vulgaris and bullous pemphigoid. Bullae can also appear in those who have inherited skin fragility issues.

Nodules are solid papules or lesions that extend into the dermis or subcutaneous tissue. Examples include cysts, lipomas, and fibromas.

• Vesicles are little, transparent, fluid-filled blisters with a 10 mm diameter.

Vesicles are a defining feature of several autoimmune blistering diseases, acute allergic contact dermatitis, and herpes infections (eg, dermatitis herpetiformis).

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Which similarities in growth and development would the nurse expect between preschoolers and toddlers?

Answers

Every year, toddlers and preschoolers put on 5 to 7 pounds (2.26 to 3.17 kg). Preschoolers require a minimum of 1800 calories each day. Toddlers, on the other hand, require more protein and less calories.

What distinguishes a preschooler from a toddler? What developmental ability would the nurse anticipate a 3-year-old child to have?

Preschoolers are kids that are three or four years old. He is no longer a toddler, whether or not your child is enrolled in a formal preschool program. Preschoolers are distinct from toddlers in that they are beginning to acquire the fundamental information, independence, and life skills they will need as they begin their formal education.

Children as young as three are capable of mastering the gross motor skill of one-foot balance. Gross motor skills of 5-year-old children include skipping on alternate feet, jumping rope, and riding a two-wheel bike.

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Which area of the urinary system would the nurse suspect as having an obstruction when the patient reports acute, severe, renal colicky pain in the lower abdomen?

Answers

The correct option is "D" i.e Ureterovesical junction.

What is Ureterovesical junction?

The ureter—the tube that drains urine from the kidney—meets the bladder at the ureterovesical junction. A blockage of the ureterovesical junction (UVJ) is referred to as an obstruction. The obstruction prevents urine from draining down to the bladder, which causes urine to back up and enlarge the kidney and ureters (megaureter and hydronephrosis).

Question:

When a patient reports acute, severe, renal colic pain in the lower abdomen, the nurse suspects that the patient is most likely to have an obstruction at which area?

(A)Kidney

(B)Urethra

(C)Bladder

(D)Ureterovesical junction

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Other Questions
If you recall some learned information from a previous course, but you no longer have that source (i. E. , textbook) in your possession, how should you go about citing that information in an assignment for a new course? Which scenario best illustrates a violation of procedural due process? A. A drug dealer with several prior convictions is sent to prisonwithout a trial. B. A law makes it a crime for people to practice certain religions. C. A police officer decides to let a shoplifter go with a warning. D. A city council passes a law that imposes a fine for vandalizingpublic property Compute the value of the discriminate and give the number for solutions of the quadratic equation 8x^2+3x-2=0 Identify the type of data (qualitative/quantitative) and the level of measurement for the assets of respondents in a survey. explain your choice. Select the domain and range of the graph in set-builder and interval notation. What are the various ways investigators locate and identify fingerprints at a crime scene? A client with a history of posttraumatic stress syndrome reports frequently reliving the traumatic event. the nurse documents that the client is experiencing:_________ Describe the cultural impacts of the conflicts between the U.S. and Native American Indians during the 1800s. Use details to support your answer. The speed of light is about 2.998 x 10^8 meters per second. The speed of sound is about 343 meters per second. About how many times fasteris light than sound? Helppppppppooppppppp please Dominoes were brought to the New World from Dominoes were brought to the New World from _______. Dominoes are rectangular tiles that have dots to represent the numbers one to _______on them. El Cadeja is a mythical _______-like creature. The _______ Cadeja was created to protect men who arrive home late. The story of El Cadeja is a representation of the struggle between _______ and ______. _______. Dominoes are rectangular tiles that have dots to represent the numbers one to _______on them. El Cadejo is a mythical _______-like creature. The _______ Cadejo was created to protect men who arrive home late. The story of El Cadeja is a representation of the struggle between _______ and ______. _______. Dominoes are rectangular tiles that have dots to represent the numbers one to _______on them. In the circular flow example, the amount of income that is flowing into the household sector is ___________ . Exercise 1.Look at the sentences and circle the noun that is the subject (S) in thesentence. Underline and put an O above any object nouns.1. Julian asked for a fish tank in his bedroom.2. The kids rode bicycles to the beach.3. Dad stopped at the store for snacks for the party.4. Alayna will go to the dentist on Thursday.5. Patience is needed when you are a chess player.6. The scouts helped the community by cleaning the park.7. Sugar and eggs are important ingredients in cakes.8. The parents smiled with happiness and pride.9. Ships rest in the harbor in between voyages.10. Dogs should be allowed at the beach. 3.MobExercise 2:Underline the verb in the sentence.1. Soup is a good choice for lunch.2. Ellis and Pria stayed in the class room.3. Algebra can be a difficult subject.(alabombred enfTHE10 Exercise 1 Underline the verb in each sentence. In the blank, write T if the verb is transitive. Write I if the verb is intransitive. He returned her calculator with a big scratch on it. The interaction pattern that occurs when group members take turns talking is known as:_______ What controls this ability to connect through the body movements and facial expressions of others? one driver had lap speeds of 195.3 mph, 190.456 mph,193.557 mph, and 192.575 mph. What was the driver's average speed for the laps driven? What kind of passenger be considered a true negative ? I need help with this its still confusing please need this asap!