he nurse instructs a client to take the prescribed pravastatin at bedtime based on understanding that
GreatTer drug effectiveness is achieved at this time.
In order to raise "good" cholesterol (HDL) and lower "bad" cholesterol and fats (such as LDL and triglycerides) in the blood, pravastatin is used in conjunction with a healthy diet. It is a member of the class of medications known as "statins." It functions by reducing the quantity of cholesterol the liver produces. Raising "good" cholesterol while lowering "bad" cholesterol and triglycerides reduces the risk of heart disease and aids in the prevention of strokes and heart attacks. Exercise, weight loss if overweight, and quitting smoking are some lifestyle changes that may help this drug work better, in addition to eating a healthy diet (such as a low-cholesterol/low-fat diet).
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a client with a brain tumor develops a urine output of 300 ml/hr, dry skin, and dry mucous membranes. which nursing intervention is the most appropriate to perform for this client?
The nurse needs to evaluate the specific gravity of the urine.
What is a brain tumour?
A lump or development of abnormal cells in your brain is known as a brain tumour.
There are several varieties of brain tumours. Both benign (noncancerous) and malignant (cancerous) brain tumours can occur (malignant). Primary brain tumours are those that start in the brain; secondary (metastatic) brain tumours are those that start in other regions of the body and spread to the brain.
The symptoms and indicators of a brain tumour vary widely and are influenced by the size, location, and development rate of the tumour.
Therefore, if the urine output increases, its specific gravity needs to be evaluated.
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a nurse is providing teacing to a client who has a new presciriton ofr psyllium. which of the foloiwng interomaiton should the nures include in teh teaching
Drink 240 mL (8 oz) of water after administration is the information the nurse should include in the teaching of someone with a new prescription for psyllium.
What is Psyllium?This is a type of fiber which is derived from the husks of the Plantago ovata plant's seeds and has a lot of medicinal properties such as reduction of blood sugar and cholesterol in the body system.
It is also used as a good source of treatment for people who have diarrhea and constipation due to its high fiber content. It is therefore advisable to drink 240 mL (8 oz) of water after administration so as to aid bowel movement.
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The nurse is assisting a client with limited mobility to turn in bed. After successfully turning the client to the side, where would the nurse place an additional pillow?.
If vaccination for meningococcal meningitis is required of all entering college students, this would be an example of which type of intervention?.
If vaccination for meningococcal meningitis is required of all entering college students, this would be an example of Primary intervention—obligation.
In the field of science, an intervention can be described as certain actions or precautions that are done in order to prevent or treat a disease. Through interventions, improvements for better health conditions are provided.
The primary intervention is a type of intervention in which necessary precautions, vaccines, medicines, or treatment are provided before a disease has actually occurred in a person. If a primary intervention is an obligation then it means that the precautionary steps have to be performed by every individual that the physician recommends.
In the case above, vaccination for meningococcal meningitis, is obligatory for every college student even though the microorganism has not caused any infection in any of the students yet, hence such an intervention is an example of Primary intervention—obligation.
Although a part of your question is missing, you might be referring to this question:
If vaccination for meningococcal meningitis is required of all entering students, this would be an example of which type of intervention?
Select one:
a. Primary Intervention - Education
b. Primary Intervention - Obligation
c. Secondary Intervention - Education
d. Secondary Intervention - Motivation
e. Tertiary Intervention - Education
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after receiving iv fluids in the emergency department, an elderly client is admitted to the acute care unit with a medical diagnosis of dehydration. the client is receiving 0.9% normal saline at 125 ml/hour via saline lock and has
From the client's arm, remove the saline lock.
What is a saline?Salt and water are combined to make saline. Because of its salt content (0.9% saline), which is comparable to that of tears, blood, and other bodily fluids, a normal saline solution is known as normal. Isotonic solution is another name for it. The nasal passages can be rinsed with a DIY saline solution (nasal irrigation).
Why is saline given to a patient?To replace lost fluids, clean wounds, administer medications, and keep patients alive during surgery, dialysis, and chemotherapy, doctors utilize intravenous saline. Even outside of hospitals, saline IVs are becoming popular as a hangover cure. It has high salt and chloride concentrations that are greater than those seen in blood.
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a charge nurse is planning client activities for the day. which tasks should the charge nurse delegate to the nursing assistant? (select all that apply.)
The task that the charge nurse should give the nurse assistant are options B, C and D.
Who is a nursing assistant?A nurse assistant is an individual who may be licensed or unlicensed but can assist the nurse in carrying out some procedures in the hospital.
If the nurse assistant is unlicensed, they are not allowed to dispense or refill drugs or fluids.
Therefore, the tasks that the charge nurse can allow the nurse assistant to participate are:
To Empty and record the amount of urine out of Foley bags at the end of each shift.,To Assist with delivering breakfast trays to clients after checking for correct patient, room number, and diet.,To Take and record temperatures, pulses, respirations, and blood pressures on all assigned patients.Learn more about nurse assistant here:
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Complete question;
A charge nurse is planning client activities for the day. Which tasks should the charge nurse delegate to the nursing assistant? (Select all that apply.)
Restock pediatric patient care rooms with oral rehydration fluids using a standardized check list.,
Empty and record the amount of urine out of Foley bags at the end of each shift.,
Assist with delivering breakfast trays to clients after checking for correct patient, room number, and diet.,
Take and record temperatures, pulses, respirations, and blood pressures on all assigned patients.
which cause woudl the nurse conclude is the underlying reason a client with conversion disorder is unable to walk
The nurse would conclude is the underlying reason a client with conversion disorder is unable to walk is if client complains that the client's left side is paralyzed.
What is conversion disorder?Conversion disorder is a mental condition in which a person has blindness, paralysis, or any other symptoms that affect the nervous system that cannot be explained by medical examination.
Some signs and symptoms of conversion disorder include:
Weakness or paralysis.Loss of balanceTremors or seizures.Vision problems.Hearing problemsDifficulty speaking, etc.In conclusion, conversion disorders are unexplainable medical diagnosis.
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A patient is undergoing a pericardiocentesis. following withdrawal of pericardial fluid, which assessment by the nurse indicates that cardiac tamponade has been relieved
The assessment by the nurse which indicates that cardiac tamponade has been relieved when undergoing a pericardiocentesis is a decrease in central venous pressure and is denoted as option A.
What is Pericardiocentesis?This is referred to a medical procedure which is performed by trained healthcare professionals to remove fluid that has built up in the sac around the heart known as the pericardium.
The central venous pressure must be between 8 to 12 mmHg and an increase is usually as a result of factors such as fluid retention in the pericardium. The withdrawal of the fluid will therefore lead to a decrease in the central venous pressure.
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The options are:
a) Decrease in central venous pressure (CVP)
b) Decrease in blood pressure
c) Increase in CVP
d) Absence of cough.
Dr. Albertson performed a lumbar laminectomy, 2 vertebral segments, for decompression on Grace James on September 15. One month later, as originally planned, Dr. Albertson brought Grace back into the OR to implant an epidural drug infuser with a subcutaneous reservoir. What are both code procedures?
Epidural medication administration is the procedure. After having a lunar laminectomy performed on her and receiving epidural medication, the patient (Grace) must have experienced back pain.
Epidural injections are used to alleviate radicular pain from ruptured discs, spinal stenosis, chemical disc, and persistent pain resulting from post-operative syndrome. The injection is administered in a theatre setting.
Administering epidural drugs:
administration of an epidural. A substance such as epidural analgesia, epidural anaesthesia, or contrast agent is injected into the epidural space surrounding the spinal cord during epidural administration (from Ancient Greek, "on, upon," + dura mater).
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degree of postoperative curve correction decreases risks of postoperative pneumonia in patients undergoing both fusion and growth-friendly surgical treatment of neuromuscular scoliosis
The degree of postoperative curve correction decreases the risk of postoperative pneumonia in patients who are undergoing both fusion and growth-friendly surgical treatment of neuromuscular scoliosis.
Study on post-operative pneumonia risk:Due to a combination of insufficient respiratory muscle control and mechanical lung compression brought on by spine and chest wall deformities, patients with neuromuscular (NM) early-onset scoliosis (EOS) are significantly more likely to experience pulmonary complications, including pneumonia. The purpose of this study is to ascertain how surgical intervention affects postoperative pneumonia risk and prevalence in patients with NM EOS.
Data on Postoperative curve correctionThis retrospective cohort analysis identified children with NM EOS (18 years of age or younger) who received index fusion or growth-friendly instrumentation from 2000 to 2018.
Patients were split into two groups at the first postoperative visit: those with a 50% correction of the curve and those with a 50% correction of the coronal deformity.
The major outcome of interest was postoperative pneumonia that appeared between three weeks and two years after surgery. A manual chart review was combined with phone call surveys to ensure that all incidences of preoperative/postoperative pneumonia (i.e., in-institution and out-of-institution visits) were documented.
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a client with severe diarrhea is prescribed intravenous fluids, sodium bicarbonate, and antidiarrheal medication.
The patient's doctor recommends intravenous fluids, sodium bicarbonate, and an antidiarrhea drug since the patient has severe diarrhea. The nurse anticipates that the doctor will recommend loperamide.
Loperamide affects the neurons in the intestine's muscular wall, which reduces peristalsis and lengthens transit time. Since it enhances gastrointestinal motility, bisacodyl is a laxative rather than an antidiarrheal. Psyllium is a bulk laxative that encourages simple stoma transit; it is not an anti-diarrheal. Docusate sodium helps with constipation, not diarrhea; it raises the amount of water and fat in the intestines, which makes stools easier to pass.
Loperamide should only be administered to children 11 years of age or under with a doctor's prescription. Some persons should not take loperamide. If you experience severe diarrhea after taking antibiotics, avoid using loperamide. This medication may lead to issues with cardiac rhythm (eg, torsades de pointes, ventricular arrhythmias). If you or your kid has chest pain or discomfort, a rapid, slow, or irregular heartbeat, dizziness, or problems breathing, call your doctor straight once. Your risk for gastrointestinal or bowel issues may rise if you use loperamide.
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relationship between physical activity levels during rehabilitation hospitalization and life-space mobility following discharge in stroke survivors: a multicenter prospective study. authors:
Relationships between the physical activity levels during rehabilitation hospitalization and the same while in life-space mobility the following discharge in stroke survivors were taken through a multicenter prospective study.
Background: Greater levels of physical activity during hospitalizations may improve stroke survivors’ living mobility, which is described as their ability to move within contexts that stretch from their homes to the greater community.
What was the aim of this Study?The aim of this study was to examine the relationship between physical activity levels during rehabilitative hospitalization and life-space mobility three months after stroke survivors’ discharge.
The average number of steps patients took over the course of the 14 days before discharge served as the representative set of data. Patients’ levels of physical activity while they were in the hospital were measured using pedometers with three-axis accelerometers.The non-paretic side of the participant’s waist or wrist received a pedometer.The Life-Space Assessment (LSA), a validated self-reporting tool for assessing community mobility, was given to participants three months after their release from rehabilitation facilities via a mail-in survey method. We investigated the relationship between the patients’ level of physical activity during hospitalization and the LSA score following discharge using multivariate regression analysis.
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according to the scope of medical-surgical nursing, when recently assigned to a medical-surgical clinical unit, for which type of patient assignment would the nurse expect to provide care?
According to the scope of medical-surgical nursing, when recently assigned to a medical-surgical clinical unit, the nurse will be expected to provide care to hospitalized adults with acute and chronic illnesses.
What is medical - surgical clinical unit?The unit which provides intensive care to the adults who are hospitalized with a wide variety of conditions such as pneumonia, stroke and fractures is called the Medical - Surgical Unit.
Usual patients of the Med/Surg Unit are patients experiencing chronic condition, preparing or recovering from surgery any acute illness or injury.
The duty includes monitoring vital signs, administering medications and maintaining health records.
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prevalence and incidence of epilepsy: a systematic review and meta-analysis of international studies
Worldwide, an estimated 5 million people suffer from epilepsy each year.. Epilepsy is thought to be diagnosed in 49 out of every 100,000 people annually in high-income countries. This number can reach 139 per 100 000 in low- and middle-income nations.
Briefing:Age group, gender, or research quality had little effect on the prevalence of epilepsy. In low to middle income nations, epilepsy incidence rates, lifetime prevalence rates, and active annual period prevalence rates were all higher. The most common types of epilepsies were those with generalized seizures and those with unknown causes.
What is a systematic review?A systematic review is a summary of the medical literature that uses specific, repeatable procedures to find, assess, and synthesize all available information on a certain subject. It synthesizes the results of many primary investigations that are related to one another by using methods that minimize biases and random errors.
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the new nurse recalls that which strategies promote evidence-based practice? (select all that apply.)
Answer:
used to complain that using guidelines results in care that is too prescribed and directed Hope this helps!
Explanation:
The evidence-based practice of nursing includes the interaction of nursing with other disciplines to bring out the evidence to the table. Thus, the correct option is E.
What is evidence-based practice?
The Evidence-based practice of nursing includes the integration of best available evidence, clinical expertise, and the patient values and all the circumstances related to patient and client management, practice management, and the health policy decision-making.
The Evidence Based Practice is a process which is used to review, analyze, and translate the latest scientific evidence related to study. The goal of this practice is to quickly incorporate the best available research, along with the clinical experience and patient preference, into clinical practice, so that nurses can make patient-care decisions.
Therefore, the correct option is E.
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The new nurse recalls that which strategies promote evidence-based practice? (Select all that apply.)
a.Collaborate with other nurses locally and globally.
b.Use sources that are only authored by nurses to stay true to nursing practice.
c.Continue to use older and outdated practices if requested by the patient and family.
d.Use and encourage use of multiple sources of evidence.
e.Interact with other disciplines to bring nursing evidence to the table.
a patient has heavy skin and muscle (myogenic) that is drooping down and blocking his vision due to myogenic ptosis of the upper eyelid. the provider performed a bilateral upper blepharoplasty. what icd-10-cm code(s) is (are) reported?
In the given scenario, icd-10-cm code reported is H02.423.
What is icd-10-cm code?
The ICD-10-CM is a morbidity classification developed by the United States that is used to classify diagnoses and reasons for visits in all health care settings.
Upper eyelid drooping is caused by a muscle disorder (myogenic). Look for Ptosis/eyelid in the ICD-10-CM Alphabetical Index, which states to see Blepharoptosis.
Look for Blepharoptosis and you'll be directed to H02.423, where the sixth character indicates laterality.
The sixth character of three stands for bilateral. There is only one code for both eyelids, not two separate codes.
This, this should be the icd-10-cm code.
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a 22-year-old client comes to the walk-in clinic complaining of fatigue, breast heaviness and extreme tenderness, and a clear vaginal discharge. what question would the nurse ask this client?
The question that the nurse should ask the client is 'Have you been sexually active in the past 2 months?".
What is breast heaviness?Breast heaviness is the enlargement of the lobular gland of the breast which is as a result of increase in some hormones such as estrogen and progesterone.
An individual that is sexually active who complains of fatigue, breast heaviness, extreme tenderness, and a clear vaginal discharge would probably be a sign of increased hormone levels due to early pregnancy.
Therefore, the nurse should obtain information concerning the sexual life of the client.
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a primary nurse managing client case records finds that the discharge teaching plan for a client is inadequate. the nurse consults other team nurses and formulates a better teaching plan. which element of the decision making process is the nurse exercising?
Authority is the element of the decision making process that the nurse is exercising.
The term "authority" describes a formal, legal right to make final choices that are unique to a certain position. The phrases authority and power are incorrect synonyms when used in the practice of governance.
The term "authority" refers to the political legitimacy that confers and defends the ruler's right to exercise governmental power; the term "power" refers to the capacity to carry out an approved task, either through compliance or obedience; as a result, "authority" refers to the capacity to make decisions and the legal authority to do so and to order their execution.
The nurse is using his/her power to speak with other team nurses and create a more effective teaching plan. The ability to decide on a patient's personal treatment plans is known as autonomy.
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on palpation of a client's prostate, a nurse detects hard, fixed, and irregular nodules on the prostate. which condition should the nurse most suspect in this client?
after surgery for repair of a myelomeningocele, the nurse places the infant in a side-lying position with the head slightly elevated. what is the main reason the nurse places the infant in this position after this particular surgery?
The correct answer for this question is to reduce intracranial pressure
The side-lying position with the head slightly elevated promotes venous return by gravity, which helps reduce intracranial pressure, a problem after myelomeningocele repair. Although preventing aspiration, promoting respiration, and maintaining cleanliness of the suture line are all important, the reason for this position that is unique with this type of surgery is that it minimizes intracranial pressure.
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a client arrives at the physician’s office stating dyspnea; a productive cough for thick, green sputum; respirations of 28 breaths/minute, and a temperature of 102.8° f. the nurse auscultates the lung fields, which reveal poor air exchange in the right middle lobe. the nurse suspects a right middle lobe pneumonia. to be consistent with this anticipated diagnosis, which sound, heard over the chest wall when percussing, is anticipated?
Answer:
Dull
Explanation:
Dullness replaces resonance when fluid replaces air-containing lung tissues such as occurs with pneumonia.
which component of a conversation between the nurse and a client being prepared for surgery is the best example of decoding and validation of the message?
The client's words and their underlying emotional tone and connotation communicate the individual's needs and emotional problems.
Why is patient anxiety common before surgery?
Preoperative anxiety, also known as preoperative or preoperational anxiety, is a very typical experience before having surgery. Many individuals who are aware they will have surgery start to feel it. Uncomfortable stress, unease, or tension that develops as a result of a patient's worries and uncertainties is essentially how anxiety before surgery is defined.
There are several reasons why someone would be anxious about having surgery. It is very natural to feel some anxiousness before surgery.
Unfortunately, patients frequently downplay their level of anxiety. This implies that doctors must improve their ability to identify the telltale signs and symptoms of anxiety.
Therefore, the client's words and their underlying emotional connotation and meaning reveal his or her desires and emotional problems.
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a nurse assesses an oncology client with stomatitis during a chemotherapy session. which nursing intervention would most likely decrease the pain associated with stomatitis?
To decrease the pain associated with stomatitis, provide a solution of viscous lidocaine for use as a mouth rinse as it would help to numb the skin of mouth.
What is stomatitis?Stomatitis is a generalized term which is used for a inflamed and sore mouth.Stomatitis can disturb an individual's capacity to eat, talk, and rest.It leads to painful swelling and injuries inside the mouth.Stomatitis can happen anyplace in the mouth, including within the cheeks, gums, tongue, lips, and sense of taste.There can be 2 types of Stomatitis: Canker Sores and Cold Sores.Canker sores can be agonizing, lasting for 5 to 10 days and will quite often return. These are by and large not related with fever.These might be caused because of drugs, injury to the mouth, stress, microbes or infections, absence of rest, citrus products, chocolate, coffee, etc.Cold sores are normally agonizing and generally go away in 7 to 10 days. These might be related to the chill or influenza-like side effects.Lidocaine is a sedative. It causes loss of feeling in the skin and encompassing tissues.It can treat irregular heartbeats (arrhythmias). It can likewise ease pain and numb the skin.Learn more about stomatitis here:
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a toddler receives a gastrostomy tube feeding every 4 hours. what is the priority nursing intervention for this child?
Positioning the child on the right side after the feeding is the priority nursing intervention for this toddler who receives a gastrostomy tube feeding every 4 hours.
What is Gastrostomy?This is the process in which a gastrostomy tube is placed into the stomach for nutritional support. In this procedure, an artificial opening is created and a tube is inserted to enable connection between the stomach and the skin so that the feed can get there.
The stomach is present in the let hand side of the abdominal region and the baby has to be put on the right side so as to facilitate gastric emptying.
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the health care providor prescribes metformin as monotherapy for the client with type 2 diabetes. the nurse will teach the client to monitor for which adverse effect
The client should be informed about (4) Gastrointestinal (GI) disturbances as a side effect.
Metformin's most frequent adverse reaction is GI distress, which includes reduced appetite, nausea, and diarrhea. These often get better with time. Due to the medicine's decreased appetite, customers actually lose an average of 7 to 8 pounds while taking it.
This prescription does not induce weight gain. Hypoglycemia might have negative effects. The third option has nothing to do with taking this drug. Up to 25% of persons, according to studies, have these adverse effects, but they are often moderate and acceptable. Only 5% of patients get GI issues severe enough to need stopping metformin treatment.
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Question correction:
The health care providor prescribes metformin as monotherapy for the client with type 2 diabetes. the nurse will teach the client to monitor for which adverse effect:
1. Weight gain
2. Hypoglycemia
3. Flushing and palpitations
4. Gastrointestinal (GI) disturbances
the nurse is reinforcing instructions to a client with essential hypertension about medication therapy with irbesartan. which client statement would indicate a need for further teaching?
The client statement that would indicate a need for further teaching is D. The medication reduces my need for exercise
What is hypertension?When blood pressure is excessively high, it is called hypertension. Usually, high blood pressure comes on gradually. Unhealthy lifestyle decisions, such as not engaging in adequate regular physical activity, can contribute to it.
Obesity and certain medical problems like diabetes might raise one's risk of acquiring high blood pressure.
In this case, the nurse is reinforcing instructions to a client with essential hypertension about medication therapy with irbesartan.
It should be noted that in this case,the medication doesn't reduce the need for exercise. Therefore, the correct option is D.
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The nurse is reinforcing instructions to a client with essential hypertension about medication therapy with irbesartan. Which client statement would indicate a need for further teaching?
A) I will take the medication each morning
B) I should stop smoking and drinking caffeine
C) I will monitor my blood pressure frequently
D) The medication reduces my need for exercise
Bethany is vomiting, but she needs to take a drug with a systemic effect to reduce her illness. Which route of administration would be most successful for Bethany?
A. oral administration
B. vaginal suppository
C. topical administration
D. rectal suppository
Since a patient cannot take medicine orally due to vomiting, rectal suppository is the preferred route for medication. Thus, option D is correct.
What is vomiting?Vomiting is expulsion of food content from the stomach through mouth. It is usually a forceful process. It depletes the hydration levels in the body.
Vomiting results when some irritant is present in the stomach or gut. Usually vomiting indicates certain sort of indigestion, however, if the vomit contains blood or any other discharge then it indicates a serious complication and hence needs medical attention.
Thus, vomiting should be managed by adequate fluid intake and medications.
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a client with schizophrenia is exhibiting positive and negative symptoms. the nurse anticipates that the client would be prescribed what?
A client with schizophrenia is exhibiting positive and negative symptoms. the nurse anticipates that the client would be prescribed for second generation antipsychotic.
Briefing :Both negative and positive symptoms can be effectively treated with the second-generation antipsychotics. These more recent medications also have an impact on serotonin and other neurotransmitter systems. This is thought to enhance their antipsychotic potency. None of the additional agents would be suitable.
What is Schizophrenia ?A serious mental disorder called schizophrenia causes sufferers to interpret reality oddly. Hallucinations, delusions, and extremely irrational thinking and behavior are all possible symptoms of schizophrenia, which can make daily tasks difficult and sometimes incapacitating. Patients with schizophrenia need continuing treatment.
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Describe the major structures of the respiratory system and clearly define their functions.
The important organ of the respiration device is the lungs. Other respiration organs consist of the nose, the trachea and the respiratory muscle groups (the diaphragm and the intercostal muscle groups).
The features of the respiration device consist of fueloline exchange, acid-base balance, phonation, pulmonary protection and metabolism, and the dealing with of bioactive materials.There are three important components of the respiration device: the airway, the lungs, and the muscle groups of respiration.
The airway, which incorporates the nose, mouth, pharynx, larynx, trachea, bronchi, and bronchioles, consists of air among the lungs and the body's exterior.The number one feature of the respiration device is to deliver the blood with oxygen so as for the blood to supply oxygen to all components of the body. The respiration device does this via respiratory. When we breathe, we inhale oxygen and exhale carbon dioxide.
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explain the basis for placing drugs into the therapeutic biologics and complementary and alternative medicine therapies
Substances applied for therapeutic purposes fall into one of the three catergories; Medications, Biologics, and Complementary and alternative medicine therapies.
Medications or drugs - A drug is a chemical substance that can cause biological reactions in the body. These reactions might either be beneficial (therapeutic) or harmful (adverse). A medicine is a substance that has been taken after being delivered.
Biologics - are substances that are created naturally by the body, microbes, or animal cells. Hormones, monoclonal antibodies, natural blood products and components, interferons, and vaccinations are a few examples of biologics. In order to treat a wide range of diseases and disorders, biologics are employed.
Therapies used in complementary and alternative medicine include natural plant extracts, herbs, vitamins, minerals, nutritional supplements, and other methods not found in traditional medicine. Physical therapy, manipulations, massage, acupuncture, hypnosis, and biofeedback are a few examples of such therapies.
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