Age-related changes in metabolism, excretory function, nutritional function, and nutrient distribution necessitate adaptations.
If the dosage is not changed, the medicine may become useless or even accumulate and become dangerous to the body.The specialty of geriatrics is the care of the elderly. As a result of aging, older people usually become weaker. Therefore, they should be distinguished from young people. The medical field of geriatrics is solely focused on providing high-quality, patient-centered care to the elderly. Clinicians specializing in geriatrics are trained to focus on issues and concerns specific to older people.Many adaptations are required for a geriatric patient.
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The second room is occupied by a woman who has a brace on her ankle. She is not supposed to put weight on her sprained ankle. Which of the following carries would you consider using for this patient?
A. Two-person extremity carry
B. Pack-strap carry
C. Two-person chair carry
D. Direct ground lift
you are watching television with your parents. Suddenly your father complains of severe pain in his chest and left arm. He is very short of breath and his lips appear cyanotic
Answer: First, Evaluate the situation & determine what actions are necessary.
Explanation:
An older adult client is suspected of experiencing a hepatic disorder. which question will the nurse ask to best identify a contributing factor for the dysfunction?
An older adult client is suspected of experiencing a hepatic disorder. The nurse asks to best identify a contributing factor to the dysfunction:
"How often do you take nonsteroidal anti-inflammatory drugs (NSAIDs) for your arthritis?"
Hepatic disorder implies that in addition to obesity, your liver also has cell damage and inflammation. The hepatic disorder may cause liver damage and other conditions like cirrhosis.
The viruses that harm the liver can be transmitted through blood or semen, tainted food or water, or direct contact with an infected individual. Hepatitis viruses, such as those that cause hepatitis A and B, are the most frequent causes of liver infections.
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Explain the agonist-to-antagonist spectrum of action of psychopharmacologic agents, including how partial and inverse agonist functionality may impact the efficacy of psychopharmacologic treatments.
A ligand that binds to a receptor and changes the receptor's state to cause a biological response is an antagonist.
A complete agonist activates the system's maximum reaction capacity.
Even with 100% receptor occupancy, a partial agonist falls short of the system's maximum response capacity.
When a full agonist is present, a partial agonist becomes an antagonist (if they compete for the same receptors)
A ligand known as an inverse agonist decreases the proportion of receptors in an active state by binding to them.
An allosteric modulator has no impact on its own but boosts (or diminishes) the effects of a primary agonist.
You must have a solid foundation in basic neuroscience in order to be a successful psychiatric mental health nurse practitioner. This includes understanding the antagonist-to-antagonist spectrum of action of psychopharmacologic agents
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The idea that specific cognitive functions activate many areas of the brain is known as.
The idea that specific cognitive functions activate many areas of the brain is known as distributed representation.
What are cognitive functions?In his book Psychological Types, Carl Jung defined cognitive functions—also known as psychological functions—as specific mental processes that exist in a person's psyche regardless of the environment. This idea forms one of the pillars of his theory on personality type. He identified four primary psychological processes in his book: thinking, feeling, sensation, and intuition. He described them as having "attitudes," which he defined as either being internally focused (introverted) or externally focused (extraverted). Cognitive functioning refers to a variety of mental capacities, including learning, thinking, reasoning, remembering, problem-solving, decision-making, and attention. He also categorizes the functions as rational (thinking and emotion) or irrational (intuition and sensation).
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An intoxicated patient will not leave the oxygen mask on. how would this best be documented on the prehospital care report?
The patient continually removes the oxygen mask despite continued reapplication.
What do you mean by the intoxicated patient?Blood or breath tests may be used to determine the body's alcohol tolerance. If a person's blood alcohol content (BAC) is 0.08 or greater, they are regarded as legally inebriated. Intoxication is one of the largest red flags in the field of emergency medicine. The amount of alcohol in a person's system is measured by their blood alcohol content or BAC. Every seasoned emergency physician can recall a time when they came dangerously near to being burned by the effects of ethyl alcohol. Sometimes regulars like Old Ben simply get shoved into a corner with little to no scrutiny.
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Which observation demonstrates that the emts and emrs are correctly using the stair chair?
The observation that demonstrates the EMTs and EMRs are correctly using the stair chair is: (1) The patient is carried down the stairs feet first.
EMTs are the Emergency Medical Technicians. EMTs are the those people who are well-versed with may of the medical procedures and take care of the seriously ill people. EMRs are the Emergency Medical Responders. They are first one to take action and provide emergency care to any ill or injured patient.
Stair chair is a medical chair that is used to carry and lift patients up or down who are seriously ill and unable to move on their own. It is an electronic system.
The question is incomplete, the complete question is:
Which observation demonstrates that the EMTs and EMRs are correctly using the stair chair?
The patient is carried down the stairs feet first.The stair chair is carried down the stairs with the chair tilted forward.The stair chair slides down the stairs while tilted forward.The wheels of the stair chair touch each and every step.To know more about stair chair, here
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Your patient's chief complaint is repeated pencil-like stools. further examination should include:______.
Your patient's chief complaint is repeated pencil-like stools. further examination should include: a digital rectal examination (DRE).
The lower rectum, pelvis, and lower belly are all examined during a digital rectal exam (DRE). Your doctor can use this test to screen for cancer and other health issues, such as male prostate cancer. an unusual lump in the rectum or anus.
Consistently having pencil-shaped feces is a sign of stenosis brought on by a tumor or scarring. DRE should be used to check for masses. To determine whether you could have a prostate issue or prostate cancer, a digital rectal examination (or exam) is performed. Your doctor or nurse will feel your prostate through the back passage's wall (rectum).
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the nurse at the clinic explains to the patient that the surgeon will be removing a mole on the patient’s back that has the potential to develop into cancer. the nurse informs the patient that this is what type of procedure?
This procedure is called surgical excision.
Excision is a commonly used method to remove bruises. After cleansing and numbing the area, the surgeon uses a scalpel to separate the mole from the rest of the skin. Depending on the type of mole, a border of healthy skin may be taken to ensure that abnormal cells are removed. After grabbing the area with tweezers, lift the mole. Bleeding is common, and before the area is stitched up, the surgeon may apply pressure or burn (cauterize) the area to stop the bleeding.The main method of removing a mole is surgical excision. and two for razor removal. Both methods of mole removal, like any other medical procedure, have their pros and cons.Therefore, the correct answer is excision.
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If rubella vaccine is administered to a postpartum patient, instructions to the patient include:_____.
If rubella vaccine is administered to a postpartum patient, instructions to the patient include an explanation of the risks of becoming pregnant within 28 days following injection.
If a woman contracts rubella while she is pregnant, it might result in a miscarriage or major birth problems in the unborn child. With the MMR vaccine, rubella can be avoided. This offers defense against three illnesses: rubella, mumps, and measles.
In the event that pregnancy develops within three months of receiving the rubella vaccine, there may be potential dangers to the fetus. The mother must be aware of any potential negative effects as well as the three-month pregnancy ban.
Before receiving the immunization, the mother should be afebrile. Even while a little quantity of the vaccine does get into breast milk, experts do not feel that nursing should be stopped.
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Erin c. is a single woman who has been advised by her doctor to increase her intake of dietary fiber due to frequent constipation. her intake over the past 24 hours includes: 8 oz. orange juice, 2 cups coffee with cream, 2 slices whole-wheat toast with margarine and jam, cheeseburger, french fries, diet soda, baked chicken, mashed potatoes, lettuce salad with dressing, and iced tea with sugar.
Dietary fiber refers to plant components or carbohydrates that cannot be digested.
Some fibers are water soluble whereas others are not. Insoluble fiber slows down digestion and aids in nutrient absorption. Insoluble fiber absorbs water into and adds weight to the feces, allowing it to travel more swiftly through the intestines.
Wheat bran, whole-grain bread, pasta, cereals, seeds, and the skins of many fruits and vegetables are among the foods high in insoluble fiber.
Typically, the cell walls of cereal fibers are resistant to digestion and hold water inside the cellular structures. Moreover, heat bran can be an extremely powerful natural laxative.
In accordance with DRI, for individuals under the age of 50, the recommended daily intake of total fiber is set at 38 grams for men and 25 grams for women, while it is 30 grams for males and 21 grams for women after the age of 50.
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Erin C. is a single woman who has been advised by her doctor to increase her intake of dietary fiber due to frequent constipation. Her intake over the past 24 hours includes 8 oz. orange juice, 2 cups of coffee with cream, 2 slices of whole-wheat toast with margarine and jam, cheeseburger, french fries, diet soda, baked chicken, mashed potatoes, lettuce salad with dressing, and iced tea with sugar. (1 point each) Using the general information in Table 4-6, what are some potential sources of fiber in Erin’s diet? How much fiber do you estimate she gets from these foods? Assuming Erin eats approximately 2000 calories per day, what is her recommended daily intake of dietary fiber based on the DRI?
The amount of water in each compartment in the body mainly is controlled by ______ concentration.
Ion concentration primarily regulates the amount of water in each bodily compartment.
What is concentration?The abundance of a constituent divided by the sum of the mixture's volumes is the definition of concentration in chemistry. There are several different categories of mathematical description: mass concentration, molar concentration, number concentration, and volume concentration. Although solutes and solvents in solutions are most usually mentioned, the concentration can apply to any form of chemical mixture. There are different types of molar concentration, including osmotic and normal concentration. Common adjectives like "dilute" for solutions with a low concentration and "concentrated" for solutions with a high concentration are used to qualitatively describe concentration in casual, non-technical language. More solute (such as alcohol) or less solvent must be added to a solution to concentrate it (for example, water).
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The nurse is providing education to an older adult client who has been prescribed atorvastatin. how should the nurse describe the common adverse effects of the drug?
A nurse will explain the following effects to patients: Nausea, difficulty in digestion, muscle weakness, flatulence, inability to sleep.
What are statins?Statins are synthetic drugs. Statins are used as cholesterol lowering agents.
High levels of cholesterol in blood is responsible for narrowing of arteries thus leading to atherosclerosis and coronary artery disease.
Statins are considered as ‘blood thinners’ and are therefore included in the treatment of cardiovascular diseases.
Statins work by inhibiting the precursor of cholesterol. Thus, synthesis of cholesterol will be under suppression. Statins function by enzyme inhibition.
Statins also facilitate in the removal of LDL (bad cholesterol) from blood.
Statins are produced from fungal species by fermentation technique. Monascus purpureas, a yeast is used in the synthesis of statins.
The common side effects of statins are nausea, dizziness, indigestion. However, serious complications include muscle and joint pain.
Therefore, statins are clinically significant drugs.
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A student nurse is preparing a plan of care for a client with chronic pancreatitis. what nursing diagnosis related to the care of a client with chronic pancreatitis is the priority?
Impaired nutrition: less than body requirements is what nursing diagnosis related to the care of a client with chronic pancreatitis is the priority for a student nurse that is preparing a plan of care for a client with chronic pancreatitis.
While any of the diagnoses may apply to this client, impaired nutrition—less than what the body needs—is the top nursing diagnostic. The client and family are reminded by the doctor, nurse, and nutritionist of the value of abstaining from alcohol and meals that have previously given rise to stomach pain and discomfort.
During the acute period, oral food or liquid intake is not authorized. The pancreas is a vital organ that serves a variety of purposes. It produces enzymes that aid in food digestion. Additionally, it produces insulin to maintain control over your blood sugar levels.
Acute (short-term) pancreatitis is a sudden pancreatic inflammation. This may cause severe agony. You might get fever and nausea. You can develop chronic pancreatitis if your acute pancreatitis worsens over time rather than getting better.
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In the not too distant past, many professionals tended to believe that parents of children with disabilities were.
The correct answer is option b. to blame for many of their child's problems.
Most parents find it challenging to raise a child with a disability because they live in a society that places blame on them. Parents frequently experience guilt because they believe that they contributed in some way to the child's impairment, whether it resulted from genetics, alcohol usage, stress, or other rational or illogical factors. If this guilt is not addressed, it may be detrimental to the parent's emotional wellbeing. Some parents go through a spiritual crisis or blame the other parent of not providing the necessary support. Moreover, most parents face religious repercussions as well, because it was widely assumed that the parents' sins caused disabilities in their children.
However, the majority of these negative opinions are more commonly misconceptions that result from an ignorance about disabilities and how they influence the functioning of those who are affected. As a result, negative attitudes frequently serve as obstacles to the complete acceptance of the impaired individual.
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In the not too distant past, many professionals tended to believe that parents of children with disabilities were
a. virtually faultless with respect to their child's problems.
b. to blame for many of their child's problems.
c. unable to work effectively with their child unless they first experience an emotional catharsis or cleansing.
d. unable to cope with their child if he or she was the first-born child.
_____ occurs when the researcher's worldview implies that the purpose of research is to promote the improved treatment of research participants in the world outside research.
The Advocacy Lens occurs when the researcher's worldview implies that the purpose of research is to promote the improved treatment of research participants in the world outside the research. This resource is intended to assist advocates working to achieve universal access to comprehensive.
Person-centered abortion care, as well as an enabling environment in which people can exercise their sexual and reproductive health and the rights. The term "research" refers to the serious consideration of study concerning a specific subject or problem utilizing scientific methods. " The majority of research can be classified into the three types: exploratory, descriptive, and causal participants.
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What is required from ems providers at every level for any prevention program to succeed? group of answer choices they must know all the different types of on-scene survival techniques.
Answer:
They must understand the need for involvement in prevention activities.
Explanation:
The Nightingale School of Nursing curriculum, formed by Florence Nightingale, focused on what nursing principles?
A) academic coursework and clinical practice academic coursework and clinical practice B) training for doctors
C) non-science based principles
D direct contact training with seriously ill patients
The Nightingale School of Nursing curriculum, formed by Florence Nightingale, focused on direct contact training with seriously ill patients.
Academic studies and clinical work principles are not founded on scientific training for doctors dealing with very unwell patients in direct contact
Florence Nightingale established the Nightingale School of Nursing, which placed a strong emphasis on the nursing values of compassion, dedication to patient care, and careful and considerate hospital management.
In 1860, as part of Florence Nightingale's effort to revolutionize nursing and healthcare, St. Thomas' Hospital created the Nightingale Training School for Nurses. The need for a highly qualified workforce was one of the pillars of implementing such transformation, and Florence's school was the first non-religious institution to offer professional nurse training.
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How might the nurse prepare to anticipate some discomfort when inserting a vensous access device?
B. Instruct the patient to expect a sharp, quick stick.
The best way to get the patient ready for it is to educate them so they have realistic expectations about any potential discomfort. The patient will not be informed of what to anticipate by hastily inserting the access device. The chance of discomfort can be decreased by using a topical anesthetic, however this is not often done while placing a venous access device. A pledge like that is not proper.
Topical Anesthetic- Topical anesthesia is defined as superficial loss of sensation in conjunctiva, mucous membranes, or skin, produced by direct application of local anesthetic solutions, ointments, gels or sprays.
The given question is incomplete, find below the complete question,
Q. How might the nurse prepare a patient to anticipate some discomfort when inserting a venous access device?
A. Insert the access device as quickly as possible
B. Instruct the patient to expect a sharp, quick stick
C. Apply a topical anesthetic to the area before inserting the device
D. Promise that the procedure will not hurt once the device has been inserted.
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The medical term for inflammation (-itis) within (endo-) an artery (arter/o) is _____
The medical term for inflammation (-itis) within (endo-) an artery (arter/o) is endarteritis.
A vital component of your body's healing process is inflammation. Inflammatory cells that have travelled to the site of an injury or a foreign substance like germs cause it to happen. Chronic inflammation may result from inflammatory cells remaining too long.
Your body's white blood cells and the substances they produce employ inflammation as a defence against infection from foreign invaders like bacteria and viruses.
In order to cure itself, your body fights off harmful substances like infections, wounds, and toxins through the process of inflammation. Your body releases substances that cause your immune system to react when something damages your cells.
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The medical assistant auscultates an apical pulse of 70 bpm in an older adult patient who is taking digoxin (lanoxin). how should the medical assistant interpret this finding?
The medical assistant auscultates an apical pulse of 70 bpm in an older adult patient who is taking digoxin (lanoxin). The medical assistant interpreted that Heart rate for the patient is within normal ranges.
Digoxin- Digoxin is a member of the group of drugs known as digitalis glycosides. It is used to regulate the heartbeat's rhythm and rate or to strengthen and operate the heart more effectively. In individuals with cardiac issues, this improves blood circulation and lessens swelling of the hands and ankles.
Heart Rate- The number of contractions per minute (or bpm) is the unit used to measure heart rate. Each ventricular contraction drives a wave of blood through the arteries, which may be felt as a pulse. A healthy adult's normal pulse rate ranges from 60 to 100 beats per minute.
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When performing a floor bridge exercise, why should you not raise the hips too far off the floor?
Over stretching the hips from the floor leads to lower back pain.
What is the importance of exercise?Any physical activity that burns the calories in the body and promotes physical fitness is termed as an exercise.
Exercise improves strength and endurance in a person.
Exercise is important for maintaining healthy weight and muscle mass in the body.
Exercise helps in keeping mainly cardiovascular and physiological diseases at bay.
Exercise increases heart rate and thus improves blood circulation in the body.
Performing exercise on daily basis improves person's metabolism and boosts energy levels.
Exercise is also important for brain health. It promotes self-confidence and improves mood. Thus, exercise is an effective way of dealing with stress and anxiety.
Exercises can be done in many different forms. Aerobic exercise, cardio, Zumba, power yoga etc are some of the forms of exercise.
Therefore, it is important to perform exercise for overall health benefits.
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The nurse is caring for a client with diabetes mellitus. what is the primary fluid shift that occurs with this condition?
Dehydration occurs as a result of the osmotic action of hyperglycemia, which draws fluid from the interstitial and intracellular compartments. The osmotic pull of glucose outweighs other osmotic pressures in interstitial fluid, which is a component of the extracellular compartment. A shift from intravascular to interstitial occurs as a result of an increase in hydrostatic pressure.
What is DIabetes?Diabetes mellitus, sometimes referred to as diabetes, is a collection of metabolic illnesses characterized by persistently elevated blood sugar levels (hyperglycemia).Frequent urination, increased thirst, and increased hunger are common symptoms.Diabetes can lead to a wide range of health issues if neglected.Hyperosmolar hyperglycemia, diabetic ketoacidosis, and even mortality are examples of acute complications.Cardiovascular disease, stroke, chronic renal disease, foot ulcers, eye damage, nerve damage, and cognitive impairment are examples of serious long-term consequences.Diabetes results from either insufficient insulin production by the pancreas or improper insulin use by the body's cells.A hormone called insulin is in charge of facilitating the entry of food-derived glucose into cells for cellular energy use.To learn more about diabetes, refer to the following link:
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under the hitech act, covered entities are no longer allowed to communicate with a patient about a drug the patient is currently being prescribed.
Under the HITECH Act, covered entities are no longer allowed to communicate with a patient about a drug the patient is currently being prescribed. This statement is True.
The Health Information Technology for Economic and Clinical Health Act (HITECH Act) is a subsidiary of the American Recovery and Reinvestment Act of 2009, there were some important modifications to the privacy and security rules under HIPAA. Since healthcare providers shift toward swapping extensive quantities of health details electronically, this decree aims to assure that such details remain confidential and secure.
The HITECH Act makes company associates follow certain security and privacy conditions. Many privacy and protection conditions currently directly involve company associates. For example, to concede to the privacy rule, company associates now have to devise written guidelines and policies and train their crew on how to safeguard Protected Health Information (PHI).
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This question is not complete the complete question is:
Under the HITECH Act, covered entities are no longer allowed to communicate with a patient about a drug the patient is currently being prescribed. State if this statement is true or false.
Which nursing interventions will minimize a patient's voluntary guarding during the palpation required of an abdominal assessment? (select all that apply.)
The following nursing interventions will minimize a patient's voluntary guarding during the palpation required of an abdominal assessment: Apply light pressure to the patient's sternum when palpating, Encourage the patient to take deep, slow breaths, and Begin palpation by placing your hand over the patient's hand.
What is Palpation?Palpation is the practice of using one's hands to check the body, particularly when detecting/diagnosing a sickness or illness. It is the process of sensing an object in or on the body in order to determine its size, shape, firmness, or location. It is frequently performed by a healthcare professional (for example, a veterinarian can feel the stomach of a pregnant animal to ensure good health and successful delivery). Palpation is an important part of the physical examination; the sense of touch is just as important as the sense of sight in this examination. Doctors become very skilled at feeling for problems beneath the skin of the body, picking up on things that untrained people would miss.To learn more about Palpation, refer to the following link:
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Individuals need more protein if they are pregnant, fighting off a serious infection, or recovering from surgery or burns. group of answer choices
a. true
b. false
True, When a person is expecting, battling a serious infection, healing from surgery or burns, they require more protein.
What is an infection?An infection is the invasion of tissues by pathogens, their growth, and the host tissues' response to the infectious agent and the toxins they release. A disease caused by an infection is referred to as an infectious disease, often known as a transmissible disease or communicable disease.
A vast variety of pathogens, most notably bacteria and viruses, are capable of causing infections. Hosts' immune systems can help them fight against infections. Mammalian hosts respond to infections with an innate reaction that frequently involves inflammation, followed by an adaptive response.
Antibiotics, antivirals, antifungals, antiprotozoals, and antihelminthics are among the specific drugs used to treat infections. 9.2 million people died from infectious diseases in 2013, accounting for nearly 17% of all deaths.
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a nurse is caring for a client who is taking digoxin for heart failure and develops indications of severe digoxin toxicity. which of the following medications should the nurse prepare to administer?
The medication that the nurse should prepare to administer is Fab antibody fragments.
What is heart failure?Heart failure is defined as a cardiovascular condition that occurs when there is inability of the heart to pump enough blood to the whole body.
The causes of heart failure include the following:
coronary artery disease, high blood pressure andprevious heart attack.Digoxin is a drug of choice in treatment or management of heart failures helps an injured or weakened heart pump more efficiently.
Chances of digoxin toxicity may occur when prescribed therefore an antidote should immediately be administered in obvious cases.
Fab antibody fragments which are antidotes of digoxin should be administered by the nurse when digoxin toxicity is noticed.
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When researching information about a drug, the nurse finds that the drug tightly binds to protein. the nurse would interpret this to mean that the drug will?
The nurse should interpret this to mean that the drug will have long duration of action when researching information about a drug which the nurse finds that the drug tightly binds to protein.
Protein binding may improve or impair a drug's effectiveness. Agents with limited protein binding often enter tissue easier than those with strong protein binding, although they are eliminated more quickly. Differences appear to be of minimal therapeutic significance for medicines that are less than 80–85 percent protein bound.
However, the tissue penetration and half-life of highly and minimally protein-bound agents may differ significantly from one another. Many different plasma proteins, including albumin, are targets for drug binding.
The physician should be concerned that the agent may be bound in vivo to one of these "minority" plasma proteins if the percentage of medicine that is protein-bound is higher in human blood than in a pure albumin solution.
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A patient who is severely obese may need to use a thigh cuff to obtain an accurate blood pressure reading, because choosing the wrong size may?
If the person chooses the wrong size of thigh cuff it may Artificially inflate the blood pressure.
Inaccurate measurements by artificially increasing blood pressure - Using a cuff that is too small for the arm can artificially increase the patient's blood pressure. Patient harm - using an improperly sized cuff is unlikely to result in patient injury Patient inconvenience - patient comfort does not affect blood pressure accuracy. Hypertension (HBP, also known as hypertension (known) is to control your blood pressure.To control high blood pressure, you need to understand the consequences.Therefore, artificially inflate the blood pressure is the correct answer.
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The quality of evidence supporting an rda is ______ the quality of evidence supporting an ai.
The quality of evidence supporting an rda is greater than the quality of evidence supporting an ai.
When an RDA cannot be determined, acceptable intake (AI) is the suggested average daily intake amount based on approximate or estimated nutrient consumption by a group (or groups) of seemingly healthy individuals that are thought to be adequate.
The Recommended Daily Allowance (RDA) is the number of nutrients that should be consumed on a daily basis in order to fulfill the needs of 97 to 98 percent of healthy persons in a given life stage and gender. When there is insufficient data to establish an RDA, the AI is the recommended intake for an individual.
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