Answers
The nurse caring for a client with renal failure should recognize the mechanisms of compensation for acid-base disturbance, which include respiratory and metabolic compensation. Monitoring the client's respiratory rate, blood gas levels, and electrolyte balance is essential in managing the acid-base disturbance.
Acid-base balance refers to the regulation of hydrogen ion concentration in the body fluids. In cases of renal failure, the kidneys are unable to maintain this balance, resulting in an acid-base disturbance. The body has several mechanisms to compensate for such disturbances. One of the mechanisms of compensation for acid-base disturbance in renal failure is respiratory compensation. The lungs work to regulate the pH of the blood by increasing or decreasing the respiratory rate to eliminate excess carbon dioxide or to retain it. However, respiratory compensation is limited and cannot fully restore the acid-base balance in renal failure.
The other mechanism of compensation for acid-base disturbance in renal failure is metabolic compensation. In this mechanism, the kidneys work to retain bicarbonate ions, which helps to increase the pH of the blood. This compensation is slower but more effective than respiratory compensation. However, it may take days or even weeks to achieve.
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Related Questions
Relate the terms: Insulin, pancreas, glucose, energy, insulin receptors, cell, cell membrane. Highlight each term.
Answers
Answer:
Insulin is a peptide hormone produced by beta cells of the pancreatic islets in the pancreas. It regulates the metabolism of carbohydrates, fats and protein by promoting the absorption of glucose from the blood into liver, fat through proteins, called pumps, which actively transport it through the cell membrane. Insulin promotes, through binding to insulin receptors, the synthesis of glycogen, fatty acids and triglycerides which can be used to produce energy in fasting conditions through catabolic processes.
Insulin is a peptide hormone which is secreted from the cells of pancreas. Insulin is responsible for the breakdown of glucose sugar to produce energy. Insulin receptors are present on the cell membrane.
What is Insulin?Insulin is a peptide hormone which is produced by the beta cells of the pancreatic islets that is encoded in humans by the INS gene. Insulin hormone is considered to be the main anabolic hormone of the body. This hormone is responsible for the breakdown of glucose sugar to produce energy. This hormone maintains the level of blood sugar. Deficiency of this hormone results into diabetes.
The insulin hormone receptor is a transmembrane receptor which is activated by the insulin, IGF-I, IGF-II analogues and belongs to the large class of receptor tyrosine kinase family.
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Why are there ethical issues surrounding end-of-
life care?
because patients have the right to refuse end-
of-life care
because patients do not have the right to
make end-of-life decisions
because patients have the right to accept life
support
because sometimes patients cannot make
decisions for themselves
Answers
Answer:
because sometimes patients cannot make decisions for themselves.
Explanation:
Answer:
A,C,D
Explanation:
on edg2020
What condition would an increase in bicarbonate ion lead to? A. acidosis B. diabetes mellitus C. alkalosis D. renal calculi
Answers
hope that helps !!
Name 2 potential exposure controls needed when respiratory infection and blood is present
Answers
Two potential exposure controls needed when respiratory infection and blood is present are Personal Protective Equipment (PPE) and engineering controls.
PPE refers to the protective gear used by healthcare workers and individuals to minimize the risk of exposure to infectious agents. In the case of respiratory infections and bloodborne pathogens, PPE may include gloves, masks, gowns, and face shields. These items provide a barrier between the person and the infectious materials, reducing the risk of transmission through direct contact, inhalation, or splashing of bodily fluids.
Engineering controls, on the other hand, involve the implementation of devices or equipment to reduce the risk of exposure to infectious agents. Examples of engineering controls in this context include negative pressure ventilation systems, which help prevent the spread of airborne pathogens, and biosafety cabinets, which provide a controlled environment for handling infectious materials. By employing these exposure controls, healthcare workers and individuals can minimize the risk of transmission and maintain a safer environment when dealing with respiratory infections and bloodborne pathogens. Two potential exposure controls needed when respiratory infection and blood is present are Personal Protective Equipment (PPE) and engineering controls.
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A hospital determines that a large number of slips
Answers
Answer:
B: lighting hallways and patient rooms better
Explanation:
EDGE
Which of the following statements is generally true about in the workplace?
A) Most people accept change easily.
B) Change in the workplace happens fairly infrequently.
C) Smart companies can avoid change altogether.
D) Individuals can learn to manage the change in their lives.
Answers
Answer:
D
Explanation:
I think its D because the others just sound not right at all no workplace of mine does those 3 other things
Answer: i would go with d
Explanation:
andrew returned for his follow-up visit last week with increased pain and edema in his right knee and was scheduled for an arthroscopy. he presents to the surgical center today for a right knee diagnostic arthroscopy with synovial biopsy. anesthesia is being performed on this 72-year-old male patient by a crna with medical supervision by a physician. other than osteoarthritis, andrew has essential hypertension, which is well-controlled. postoperatively the patient was placed in a prefabricated canvas longitudinal knee immobilizer
Answers
The question is incomplete however the correct question is as follows:
What is the correct CPT code modifier to use?
Answer:
The correct answer would be - 51 and 59.
Explanation:
Modifier 51 and modifier 59 are two common code modifier for arthroscopy. the code 51 tells that the same physician is performing multiple arthroscopy or other procedure for different clients at the same session except E/M services.
On other hand modifier 59 that indicates that the procedure normally not reported together but in specific conditions that meet with the criteria of code for reporting separately. It may also suggest that same provider should not perform the procedure same day.
Arthroscopy, knee, diagnostic, with or without synovial biopsy -29870 is a separate procedure.
during assessment of a newborn, the nurse finds heart murmurs on auscultation. which statement by the nurse to the parents is appropriate?
Answers
Appropriate statement by the nurse: "The doctor detected heart murmurs during the assessment. Further evaluation is needed to determine the cause and severity."
A heart murmur is an abnormal sound heard during the heartbeat cycle, often indicating turbulent blood flow through the heart. It can be caused by various factors, including structural abnormalities or functional issues with the heart valves. When a nurse detects heart murmurs in a newborn, it is important to inform the parents about it. However, it is crucial to avoid providing a definitive diagnosis or alarming the parents unnecessarily. The suggested statement acknowledges the detection of heart murmurs and emphasizes the need for further evaluation by a doctor to determine the cause and severity. This approach helps to maintain open communication, instill trust, and ensures that the parents understand the importance of seeking medical follow-up to properly assess and manage the condition.
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which is the best position and instruction for a scoliosis client to strengthen lateral benders of the right side of the trunk
Answers
Answer:
Side-lying over an exercise ball, laterally bend to right
Hope this helps! :)
a) Discuss the form of viral hepatitis the man is most likely to have, and state why. You should demonstrate your knowledge of hepatitis by giving reasons why other viral forms could be discounted
Answers
Viral hepatitis C is the man is most likely to have.
What are the symptoms of viral hepatitis C infection?Hepatitis C is an inflammation of the liver caused by the hepatitis C virus.
The virus can cause both acute and chronic hepatitis, ranging in severity from a mild illness to a serious, lifelong illness including liver cirrhosis and cancer.
The hepatitis C virus is a bloodborne virus and most infection occur through exposure to blood from unsafe injection practices, unsafe health care, unscreened blood transfusions.
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Zander is trying to determine the correct answer on a multiple-choice test. He has eliminated two of the four answer options because they do not fit the question, and now he is trying to recall what he knows about the question. Which two parts of zander’s brain are working to perform these operations? hippocampus and hypothalamus hippocampus and cerebrum cerebrum and cerebellum cerebellum and hypothalamus.
Answers
The parts of Zander’s brain that are working to perform these operations include the hippocampus and cerebrum. They are part of the brain.
What are the hippocampus and cerebrum?The hippocampus is a layer of packed nerve cells (neurons), which can be considered as an extension of the cerebral cortex.
The hippocampus can be found in the inner or medial area of the temporal lobe, forming the limbic system.
The cerebrum is the most important and largest part of our brain, which consists of two cerebral hemispheres (right and left).
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Which of the following is the best place to find credible health information?
A.
The bestseller list
B.
The Department of Health and Human Services
C.
The advice from a celebrity
D.
Your mom
Answers
Answer:
b
Explanation:
Answer:
ur mom B) nah its B
Explanation:
prohibited drugs meaning
Answers
Answer:
Drug prohibition refers to policies that restrict access to and criminalize the sale and possession of certain mood‐altering substances, such as marijuana, cocaine, and heroin. ... Both restricted the sale of opiates and certain other drugs by anyone other than pharmacists
Explanation:
Other Words The End Of The World
Answer:
drugs that are not allowed or banned.
i just guessed cause I saw prohibited
Analyze Rufaro experimental results and use the results to fill in the name of the antibiotic you will want to prescribe to the patient
Answers
Answer:
Explanation:
eight out of the 9 trainees prescribed the antibiotics, whereas 7 out of the 12 GPs did so. On the basis of a Bayesian analysis, these results yield reasonable statistical evidence in favor of the notion that experienced GPs are more likely to withstand the pressure to prescribe antibiotics than trainee doctors.
Using Internet resources, discuss one disease of each of these systems (1) cardiovascular/heart and vessels, (2) lymphatic system and digestive system. Include causes, symptoms, and risk factors for each disease in your discussion.
Answers
Answer:
1. Cardiovascular/Heart and Vessels:
Atherosclerosis is a disease of the cardiovascular system that occurs when plaque builds up in the walls of arteries, causing them to narrow and harden. This can lead to complications such as heart attack, stroke, and peripheral artery disease. The main risk factors for developing atherosclerosis include high blood pressure, high cholesterol levels, smoking, obesity, diabetes, and a family history of the disease. The symptoms of atherosclerosis vary depending on the location of the affected artery, but can include chest pain, shortness of breath, numbness or weakness in the legs, and difficulty speaking or understanding speech. Treatment for atherosclerosis may include lifestyle changes such as diet and exercise, medications to lower blood pressure and cholesterol levels, and in severe cases, surgery to remove the blockage.
2.Lymphatic System and Digestive System:
Crohn's disease is a chronic inflammatory disease that affects the digestive system, specifically the small intestine and colon. The exact cause of Crohn's disease is unknown, but it is thought to be related to a combination of genetic and environmental factors. The symptoms of Crohn's disease include abdominal pain, diarrhea, fatigue, weight loss, and sometimes rectal bleeding. The disease can also cause complications such as intestinal blockages and fistulas. Risk factors for developing Crohn's disease include a family history of the disease, smoking, and a history of infections in the gut. Treatment for Crohn's disease may include medication to reduce inflammation, dietary changes, and in some cases, surgery to remove damaged parts of the digestive system.
the term cerebral dominance designates the hemisphere that is dominant for language. t or f
Answers
The term cerebral dominance designates the hemisphere that is dominant for language. The given statement is true.
The ability of one cerebral hemisphere, sometimes known as the left or right side of the brain, to mainly control particular tasks is known as cerebral dominance. As a result, harm to a particular hemisphere may cause an impairment of some clearly defined functions.
The ability of one cerebral hemisphere, sometimes known as the left or right side of the brain, to mainly control particular tasks is known as cerebral dominance. As a result, harm to a particular hemisphere may cause an impairment of some clearly defined functions.
The possibility of using handedness as an auxiliary indicator of cerebral lateralization for language function has long piqued the interest of neuropsychologists.
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I was trying to dye a barbies hair so i blew a bunch of ink from a crayola marker into a small bowl of water. I didnt notice a small cut on my thumb until my hands started turning kinda red? The marker was black. Am i gonna die? This is an actual question! Please help!
Answers
Please give me the answer
Answers
Answer:
I think the answer is true.(?)
pneumoniathe bacterium streptococcus pneumoniae causes the disease ________________, which can be fatal
Answers
Answer:
Explanation:
Pneumococcal disease
T/F? Avedis Donabedian introduced a model of medical quality
based on three criteria: structure, process, and outcomes.
Answers
True. Avedis Donabedian, a renowned physician and researcher, introduced a model of medical quality that is widely recognized in the field. This model is based on three key criteria: structure, process, and outcomes.
The structure component of Donabedian's model refers to the physical and organizational attributes of the healthcare setting. It includes factors such as the availability of resources, facilities, equipment, and personnel. Evaluating the structure helps assess whether the healthcare system is adequately prepared to deliver quality care.
The process component focuses on how healthcare is delivered to patients. It includes aspects such as the interactions between healthcare providers and patients, the appropriateness and timeliness of care, adherence to clinical guidelines, and the coordination of services. Evaluating the process helps determine whether care is being provided in an effective and efficient manner.
The outcomes component assesses the impact of healthcare on patients' health status and overall well-being. It includes indicators such as patient satisfaction, health outcomes, and the overall quality of life. Evaluating outcomes helps determine the effectiveness of the healthcare provided and its ability to meet the intended goals.
Donabedian's model of medical quality, with its emphasis on structure, process, and outcomes, has been widely used as a framework for assessing and improving healthcare quality. It provides a comprehensive approach that helps identify areas for improvement and guide quality improvement initiatives in healthcare organizations.
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The words menses and menorrhea are built using the Latin root word mēnsis, which means month. Menorrhea
means
O monthly pain.
annual flow.
O regular flow.
O monthly flow.
Answers
Patrick O’Donnell is a 22-month-old boy of Irish-American descent. His mother has concerns about loose stools for the past 3- to 4-months. His stools have gradually become looser and more frequent, and he has been “irritable” lately. His mother says he is active and sleeps well. She describes him as a “picky eater.”
Patrick lives with both parents and a four-year-old sister, who is healthy. Because both parents work full-time, Patrick and his sister go to their grandmother’s home Monday through Friday for daycare. His mom had not been particularly concerned about his crabbiness or picky eating until his Grandma mentioned that Patrick has been taking longer naps and she wonders how he'll ever get potty trained, because of his loose stools.
Objective
See Growth Chart
• Vital signs: weight (10.8 kg/23 lb. 13 oz.), length (84 cm/33.25”), and temperature (97.6 ax). See growth chart.
Some of Patrick's physical exam findings are as follows:
• General: Patrick is a thin, somewhat pale toddler, sitting quietly on his mother’s lap.
• Cardiac: Cardiac exam is normal (no murmurs, cyanosis, or clubbing).
• GI: His GI exam reveals a slightly distended abdomen, active bowel sounds, some tympany, non¬tender to palpation, without masses or hepatosplenomegaly.
• Skin: His skin is pale, with no rashes or lesions.
You order some lab work:
• CBC: All WNL for age except Hgb is 10.0 g/dL: (ref: 11.0 to ¬14.0 g/dL)
• tTG (Tissue Transglutaminase): 14.6 u/ml (ref: 10.0 is positive)
Assessment and Plan
Putting it all together:
1. Identify and discuss/analyze the most important aspects of Patrick's listed history ("red flags" in the subjective findings). What items are missing from Patrick's history?
2. Identify and discuss/analyze the most important objective findings. What data is missing from a complete exam for this patient?
3. State your assessment: List differential diagnoses for this patient (pretend you don't know the given lab results).
4. Clearly state both a short-term and long-term plan for Patrick. Include diagnostic testing, consults, referrals, patient education, follow-up. Discuss the rationale for the measures contained in your plan, using peer reviewed, evidence based, and primary academic references to support your rationale.
Answers
Most important aspects of Patrick's listed history and missing items:
Gradually loose and more frequent stools over the past 3-4 months: This suggests a chronic gastrointestinal issue that needs further evaluation.Irritability and picky eating: These behavioral changes could be related to the gastrointestinal symptoms or could be separate concerns that need assessment.Missing items from Patrick's history:Taking longer naps: This change in sleep pattern should be further explored and considered in the overall evaluation.Daycare setting: It's important to consider if there have been any recent changes or exposures in the daycare environment that could contribute to Patrick's symptoms.Detailed dietary history: It would be beneficial to obtain specific information about Patrick's diet, including the types and quantities of food he consumes, any recent changes, and potential food intolerances or allergies.Stool characteristics: More detailed information about the consistency, color, and presence of mucus or blood in Patrick's stools would provide additional insights.Travel history: Inquiring about recent travel, particularly to areas with a higher risk of gastrointestinal infections or parasites, can help identify potential infectious causes.Most important objective findings and missing data:
General appearance: Patrick being thin and somewhat pale raises concerns about his nutritional status and possible underlying conditions.Abdominal examination: The slightly distended abdomen and active bowel sounds suggest possible gastrointestinal involvement.Missing data: A complete physical examination should include an assessment of the skin, lymph nodes, musculoskeletal system, and neurodevelopmental milestones.Assessment: Based on the available information, the differential diagnoses for Patrick may include:
Chronic gastrointestinal infection or parasitic infestationFood intolerance or allergyMalabsorption disorders (e.g., celiac disease)Inflammatory bowel diseaseNutritional deficienciesShort-term and long-term plan for Patrick:
Short-term plan:
Further evaluation of the gastrointestinal symptoms: This may include stool studies for infectious causes, such as stool culture and ova/parasite examination.Comprehensive dietary assessment: Involving a nutritionist or dietitian to evaluate Patrick's diet and identify potential triggers or deficiencies.Referral to a pediatric gastroenterologist: If initial evaluations are inconclusive or symptoms persist, a specialist can provide expertise in diagnosing and managing gastrointestinal disorders in children.Patient education: Provide information to the parents about common causes of chronic loose stools in children, dietary modifications, and when to seek medical attention.Long-term plan:
Further diagnostic testing: If initial assessments are inconclusive, additional tests like imaging studies (e.g., abdominal ultrasound) or endoscopic procedures (e.g., colonoscopy) may be necessary to investigate underlying gastrointestinal conditions.Follow-up visits: Regular follow-up appointments with the pediatrician or specialist to monitor Patrick's progress, assess response to interventions, and adjust the management plan accordingly.Ongoing nutritional support: Collaboration with a nutritionist or dietitian to ensure Patrick's diet meets his nutritional needs and addresses any identified deficiencies.Continual patient and family education: Provide ongoing support and education to the family about managing chronic gastrointestinal conditions, emphasizing the importance of compliance with dietary modifications and adherence to medical recommendations.Rationale:
The plan outlined above aims to identify the underlying cause of Patrick's gastrointestinal symptoms and provide appropriate management. The diagnostic testing, referrals, and consultations are intended to gather additional information and involve specialists' expertise to ensure comprehensive evaluation and appropriate care.
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ideentify three factors and describe how they will increase an individuals water needs
Answers
There are several factors that can affect an individual’s water needs, such as physical activity (exercise), climate, and illness. Exercise increase perspiration; climate increase sweat production, and illness make body more prone to losing fluids.
Physical activity increases water needs because it increases perspiration and heat production in the body, thus requiring more water intake. When we exercise, our bodies produce sweat to help regulate our body temperature. This sweat is made up of water, so the more we exercise, the more water we need to replace the fluids we lose through sweating.
Hot and humid climates can also increase an individual's water needs. When it's hot and humid, our bodies produce more sweat to help keep us cool, which means we need to drink more water to stay hydrated.
Certain illnesses, such as fever, vomiting, and diarrhea, can cause an individual to lose more fluids than usual. In these cases, it's important to drink more water to replace the fluids that are lost and prevent dehydration.
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What does this mean in medical form. It’s on my ws and I’m clueless
Answers
Answer:
it means without in nursing
Rosa Gutierrez was just seen by Dr. Bahjat. Her laboratory tests have come back, and she has been diagnosed with type 2 diabetes. She is a Mexican immigrant who has lived in the United States for the past 31 years. She is very worried about how the disease will affect her life.
One of the laboratory tests performed was an FBS (fasting blood sugar) ordered by Dr. Bahjat. Give an example of an abnormal FBS that could be concerning for Dr. Bahjat.
List some signs and symptoms that Ms. Gutierrez may have had, which would have indicated to Dr. Bahjat that she should be tested for type 2 diabetes mellitus.
How does Ms. Gutierrez’s ethnicity play a role in her diagnosis? What should be considered regarding patient education?
Answers
how does Ms. Gutierrez ethnicity play a role In her diagnosis what should be considered regarding patient's education
The role of ethnicity, patient education are given below :
Effect of ethnicity:
There is evidence that certain ethnic groups have a predisposition to type 2 diabetes in the presence of the same risk factors.Hispanics are the largest minority in the United States and have higher rates of diabetes in both adults and childrenThese are due to change in food habits, rapid urbanization, changes in the environment and changes in lifestyles, and so on.patient education:
1. Eating healthfully. 2. Exercise. 3. Losing weight 4. Monitoring and treating blood sugar levels. 5. Following the treatment plan. 6. Managing cardiovascular risks. 7. Preventing infections.Learn more:
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4. An abdominal ultrasound of a pregnant woman shows that her baby has a protrusion of the spinal cord and meninges. What is the baby’s diagnosis?
Answers
Answer:
myelomeningocele
Explanation:
An abdominal ultrasound of a pregnant woman shows that her baby has a protrusion of the spinal cord and meninges, the diagnosis of the baby is -
Myelomeningocele
MyelomeningoceleIt is a neural tube defect in which the bones of the spine do not completely form and leads to an incomplete spinal canal. The spinal cord and meninges protrude from the baby's back.
It is called spina bifida in common language when a baby is born with a gap in the bones of the spine.
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It has been argued that medical practitioners have the ability to generate demand for their own services. What is the theory behind this hypothesis? What assumption of the perfectly competitive model must be violated? What is the empirical evidence used to support the theory of physician-induced demand?
Answers
Answer: Your welcome!
Explanation:
The theory behind this hypothesis is that physicians can increase the demand for their services by influencing patient beliefs and behaviors through marketing, advertising, and other methods. This idea is based on the concept of asymmetric information, which is the idea that one party in a transaction (in this case, the physician) has more information than the other (the patient).
The assumption of the perfectly competitive model that must be violated is the assumption that all parties in a transaction have perfect knowledge. This assumption is violated in the case of physician-induced demand because the physician knows more about the medical services they are offering than the patient.
The empirical evidence used to support the theory of physician-induced demand includes studies that show that physicians who use more aggressive promotional tactics, such as direct-to-consumer advertising, are more likely to have higher levels of patient demand. Other studies have shown that physicians who receive financial incentives from drug companies or other medical device companies are more likely to prescribe those products to their patients. Finally, studies have shown that physicians who have higher patient satisfaction ratings are more likely to have higher levels of patient demand.
The theory behind the hypothesis of "physician-induced demand" is that medical practitioners have the ability to influence the demand for their services by recommending more treatments or procedures than are necessary or by providing excessive medical care.
The assumption of the perfectly competitive model that must be violated for this hypothesis to hold is the assumption of perfect information. In a perfectly competitive market, consumers are assumed to have perfect information about the goods and services available, including their quality and necessity.
Empirical evidence for the theory of physician-induced demand includes studies that have found higher rates of medical procedures and spending in areas with a higher density of physicians, even after controlling for differences in patient need and demographics.
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an active, otherwise healthy, older adult client presents to the clinic with severe osteoarthritis in both knees. the nurse knows this client does not want to be a burden on the family, and the client remains stoic despite reporting the pain as severe. the client avoids the topic of surgery and attends church weekly. the client's family is supportive of any decisions the client makes regarding health. which of the assessment data is most important to forming an individualized education plan for this client concerning treatment for osteoarthritis?
Answers
In order to create an individualized education strategy for this client regarding osteoarthritis therapy, it is crucial to consider personal perceptions of health and aging.
Describe osteoarthritisThe most typical type of arthritis is osteoarthritis (OA). Degenerative joint diseases or "wear and tear" arthritis are two names for it. It usually affects the hands, hip, and knees. In OA, a joint's cartilage starts to degrade or the underlying bone starts to alter.
What treatment option is most effective for osteoarthritis?Regardless of age or fitness level, exercise serves as one of the most crucial treatments for patients with osteoarthritis. Workouts to build muscle strength and exercises to increase overall fitness should both be a part of your physical activity.
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The nurse is teaching a patient who will
begin taking furosemide. The nurse learns
that the patient has just begun a 2-week
course of a steroid medication. What will
the nurse recommend?
A Report a urine output greater than 600
mL/24 hours.
B
Take the furosemide at bedtime.
C
Consume licorice to prevent excess
potassium loss.
D
Obtain an order for a potassium
supplement
Answers
Explanation:
A) Report a urine output greater than 600mL/24hours
Match the following terms with the letters shown on the illustration.
D
J
E
K