what black box warning is required for second-generation antipsychotics approved for treatment of bipolar disorder?

Answers

Answer 1

Warning: Black Box for Antipsychotics

Antipsychotic-treated elderly people with dementia-related psychosis had a higher probability of passing away.

The FDA mandates the most serious medicine label warnings, known as "black box" warnings. Abilify has two. One cautions against aripiprazole use in young adults, adolescents, and children due toideation. The second cautions that elderly dementia patients who take the medication run an increased chance of passing away.

Antipsychotics of the first generation are the traditional antipsychotics that inhibit the dopamine pathway by inhibiting the D2 receptors and decrease dopaminergic neurotransmission.

Atypical antipsychotics of the second generation, which partially block dopamine receptors and have other side effects like serotonin, are also known as second generation antipsychotics.

Antipsychotics of the second generation are more successful at lessening the signs and symptoms of schizophrenia while also enhancing general quality of life.

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true or false the filtrate from the glomerulus enters into the distal convoluted tubule.

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The given statement "The filtrate from the glomerulus enters into the distal convoluted tubule" is True because the filtrate from the glomerulus enters into the proximal convoluted tubule first, and then continues into the loop of Henle before entering the distal convoluted tubule.

Following the PCT, the filtrate continues into the loop of Henle, which consists of a descending limb, loop, and ascending limb. After passing through the loop of Henle, the filtrate enters the distal convoluted tubule (DCT). The DCT is responsible for further reabsorption and secretion, regulating the final concentration of urine, and maintaining electrolyte balance.

Therefore, the correct sequence is glomerulus → proximal convoluted tubule → loop of Henle → distal convoluted tubule. Thank you for pointing out the correction.

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which interventions would a nurse include in the teaching plan for a patient diagnosed with a sexual dysfunction? select all that apply

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The nurse should explain that sexual disorders such as paraphilic disorder, which causes people to engage in improper sexual conduct, differ from sexual dysfunction, which impairs normal sexual responses.

What is the root of sexual dysfunction?

Erectile dysfunction can be brought on by physical conditions like diabetes, obesity, smoking, high blood pressure, high cholesterol, and heart disease. On the other side, mental health issues including melancholy, anxiety, stress, marital issues, and others can also affect how you feel about yourself sexually.

How does sexual dysfunction make you feel?

Involuntary painful muscle spasms (spasms) around the vagina, pain during sex, lack of interest in (or desire for) sex, and issues with arousal or orgasm are all examples of sexual dysfunction. These issues must make the lady feel uncomfortable for a sexual dysfunction disorder to be diagnosed.

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What are examples of common diagnostic services workplaces? Select all that apply

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Services for Diagnosis Employees may work in for-profit businesses, government-run businesses, or non-profit establishments like hospitals, clinics, and laboratories.

What is meant by diagnostic services?If you have a personal or family history of illness, are suspected to have a disease condition, or are experiencing persistent issues, your doctor may prescribe diagnostic testing for you. Blood work, urine testing, and other tests determined necessary by your doctor are included in laboratory services.Both invasive and non-invasive diagnostic tests are available. The skin is punctured or the body is entered during invasive diagnostic testing. Biopsies, colonoscopies, and drawing blood are a few examples. Non-invasive diagnostic testing does not require a skin break.Although prices can vary from vehicle to vehicle, the typical cost of a general diagnosis is between $88 and $111.

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a 2010 national survey on drug use suggest that _______ was more likely to experience mental health issues in the last year.
Adult females
Adult males
Adolescent females
Adolescent males

Answers

Hi there!!

Adult females were more likely to experience mental health issues in the last year.

How many superficial muscles are on the anterior view of the body?

Answers

There are around 650 skeletal muscleswithin the typical human body. Almost every muscle constitutes one part of a pair of identical bilateral muscles, found on both sides, resulting in approximately 320 pairs of muscles, as presented in this article.

A nurse was reported to BON by two different employers regarding multiple practice errors.The nurses conduct demonstrates a pattern of practice

Answers

Unclear/incomplete question. However, I answered based on information provided by NURSING PEER REVIEW FREQUENTLY ASKED QUESTIONS of Texas Board of Nursing (May 2008)

Answer:

that suggests that the nurse lacks the knowledge and competencies needed.

Explanation:

Note, in this scenario we are told that the nurse had been reported by not just one employer, but two. This thus demonstrates that there is a growing pattern of bad clinal judgment practice by the nurse.

Hence, we can conclude that such multiple practice errors show that the nurse conduct is one that cannot be overlooked.

calculate the dosage in milligrams per kilogram body weight for a 175 lb adult who takes two aspirin tablets containing 0.324 g of aspirin each.

Answers

Answer:

Therefore, the dosage of aspirin for the 175 lb adult is approximately 8.16 mg per kilogram of body weight.

Explanation:

o calculate the dosage in milligrams per kilogram body weight, we need to convert the weight of the adult from pounds to kilograms.

1 pound is approximately equal to 0.4536 kilograms.

So, the weight of the adult in kilograms would be:

175 lb * 0.4536 kg/lb = 79.378 kg (rounded to three decimal places)

Next, let's calculate the total dosage of aspirin in grams:

2 tablets * 0.324 g/tablet = 0.648 g

Now, we can calculate the dosage in milligrams per kilogram body weight:

Dosage = (0.648 g) / (79.378 kg)

Converting grams to milligrams:

Dosage = (0.648 g) * (1000 mg/g) / (79.378 kg)

Calculating the dosage:

Dosage ≈ 8.16 mg/kg (rounded to two decimal places)

Therefore, the dosage of aspirin for the 175 lb adult is approximately 8.16 mg per kilogram of body weight.

Help I need the labels for this heart

Help I need the labels for this heart

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Answer:

hope this will help you more

Help I need the labels for this heart

Which situation places the client at the highest risk of lack of oxygen

Answers

Answer:

The nurse caring for a client with a chest tube turns the client to the side and the chest tube accidentally disconnects from the water seal chamber.

Explanation:

Create a nursing note reflecting priority assessments, interventions, and method of evaluation as they relate to the care of a patient experiencing signs of hypovolemic shock. 4)Document the two sets of vital signs (before and after nursing interventions) in the Stan Checketts scenario. 5)Identify and document key nursing diagnoses for Stan Checketts.

Answers

1) Vital signs before nursing interventions:

  Blood Pressure: [Insert value]   Heart Rate: [Insert value]   Respiratory Rate: [Insert value]   Oxygen Saturation: [Insert value]

  Vital signs after nursing interventions:

  Blood Pressure: [Insert value]   Heart Rate: [Insert value]   Respiratory Rate: [Insert value]   Oxygen Saturation: [Insert value]

2) Nursing Diagnoses for Stan Checketts:

  Fluid Volume Deficit related to excessive fluid loss secondary to hypovolemic shock.   Ineffective Tissue Perfusion related to decreased cardiac output and compromised circulation.

Nursing Note:

Date: [Insert Date]

Time: [Insert Time]

Patient Name: Stan Checketts

Age: [Insert Age]

Gender: [Insert Gender]

Medical Diagnosis: Signs of Hypovolemic Shock

Priority Assessments:

1. Assess patient's vital signs, including blood pressure, heart rate, respiratory rate, and oxygen saturation levels.

2. Monitor the patient's level of consciousness, mental status, and skin color.

3. Assess the patient's skin temperature, moisture, and capillary refill time.

4. Evaluate the patient's urine output and assess for any signs of oliguria or anuria.

5. Check for any signs of bleeding, such as hematemesis, melena, or hematuria.

6. Monitor the patient's pain level and assess for any signs of abdominal distension or tenderness.

Interventions:

1. Administer oxygen via a nasal cannula to improve oxygenation.

2. Initiate two large-bore intravenous (IV) lines for rapid fluid resuscitation.

3. Administer intravenous fluids, such as normal saline or lactated Ringer's solution, as prescribed.

4. Elevate the patient's legs to promote venous return.

5. Maintain a strict intake and output record.

6. Monitor laboratory values, including hemoglobin, hematocrit, and electrolytes.

7. Collaborate with the healthcare team to ensure blood products are available if needed.

8. Provide emotional support to the patient and their family.

Method of Evaluation:

1. Reassess the patient's vital signs and compare them to the baseline measurements.

2. Monitor the patient's response to interventions, including improvements in blood pressure, heart rate, and urine output.

3. Assess the patient's overall clinical condition, including the level of consciousness and skin perfusion.

4. Review laboratory results to determine if any adjustments to the treatment plan are required.

Nursing Diagnoses for Stan Checketts:

1. Fluid Volume Deficit related to excessive fluid loss secondary to hypovolemic shock.

2. Ineffective Tissue Perfusion related to decreased cardiac output and compromised circulation.

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Cydney presents with a history of asthma. She has not been treated for a while. She complains of daily symptoms/ greater than 1 week and at nighttime. She has been using her rescue inhaler daily. Her FEV1 is 60% to 80% predicted. How would you classify her asthma severity

Answers

Answer: Moderate 8 on the asthma severity scale

Explanation: Asked my dad who's an MD

Question 25 (4 points)
Medical______
is special vocabulary that is used in healthcare and is often formed from Latin and Greek word parts
1)Latin
2)language
3)coding
4)terminology

Answers

4) terminology
have a great day!
answer
it’s 4
have a good day

a person with schizophrenia hears multiple voices inside his head talking to him at the same time and forcing him to do things. it may be inferred that he is experiencing the symptom of

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A person with schizophrenia hears multiple voices inside his head talking to him at the same time and forcing him to do things. it may be inferred that he is experiencing the symptom of hallucinations.

Schizophrenia is a mental illness that affects one's ability to think, feel, and behave. It is characterized by delusions, hallucinations, disorganized speech, and other symptoms. The most common symptom of schizophrenia is hearing voices inside one's head, which is known as auditory hallucinations. A person with schizophrenia may hear multiple voices inside their head talking to them at the same time and forcing them to do things.

This experience is known as command hallucinations. Command hallucinations are a type of auditory hallucination that involves hearing voices that tell a person what to do. These voices can be perceived as coming from inside the person's head or from external sources. People with schizophrenia who experience command hallucinations may feel like they are being controlled by outside forces and may act on the commands they hear.

This can lead to dangerous behaviors and even harm to oneself or others. Command hallucinations are a serious symptom of schizophrenia that require treatment. People with schizophrenia who experience this symptom may need medication, therapy, and other interventions to help manage their symptoms and reduce the risk of harm.

It is important for family members and loved ones to recognize the signs of schizophrenia and seek help from a mental health professional as soon as possible to ensure that the person receives appropriate treatment.

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What is the major difference between dissociative amnesia and retrograde amnesia.

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The major difference between dissociative amnesia and retrograde amnesia is the cause and type of information that is forgotten.

What is amnesia?

This is a disease or condition in which it is difficult for patients to remember specific information.

What is dissociative amnesia?

This type of amnesia implies patients cannot remember relevant information such as one's name, one's location, specific events or feelings.

This is often caused due to traumatic events or stress.

What is retrograde amnesia?

This type of amnesia implies patients cannot remember information from their past. This means patients can remember the events that are happening today, but not the ones yesterday, last year, etc.

This is often caused by brain injury or diseases such as Alzheimer's disease or a cardiac arrest.

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audra is a medical assistant. her first patient of the day is scheduled for a thyroidectomy. audra prepares the patient and then calls an escort to take the patient to the correct department. where does the patient need to go? (hint: the suffix gives you the answer.)

Answers

The correct department where the patient who will be undergoing thyroidectomy must be taken is known as the operation room for a surgical procedure.

Thyroidectomy is the process of removal of either some specific part or complete removal of thyroid gland from the body. Though thyroid gland is essential in secretion of hormones which regulates the metabolism of our body, yet in some patients it is needed to be removed when it turns cancerous.

The surgery is quite complicated and involves several risk. These risk increase many fold if the patient is adult or tobacco eater. Being a medical assistant, Audra knows that the patient who will be undergoing some surgery is to be reported at the ICU (Intensive Care Unit) for further treatment.  

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Which nursing interventions are recommended when caring for a client who is diagnosed with influenza? Select all that apply.1. Placing client in supine position2. Administering humidified oxygen3. Encouraging frequent ambulation4. Increasing fluid intake5. Obtaining cultures after antibiotics given

Answers

When caring for a client diagnosed with influenza, the nursing interventions recommended include: Administering humidified oxygen Encouraging frequent ambulation Increasing fluid intake Obtaining cultures after antibiotics given, Option 2,3,4 and 5.

The nursing interventions recommended when caring for a client who is diagnosed with influenza include administering humidified oxygen, encouraging frequent ambulation, increasing fluid intake, and obtaining cultures after antibiotics given. The purpose of administering humidified oxygen is to ensure that the patient receives sufficient oxygen to meet their body's needs.

Encouraging frequent ambulation aids in preventing the risk of pulmonary embolism, deep vein thrombosis, and other complications. The client's fluid intake should be increased to prevent dehydration as it helps in managing the symptoms of influenza. The physician may recommend taking antibiotics, but the nurse should ensure that cultures are obtained before starting antibiotics.

This is to determine the appropriate antibiotic to use for the client's condition. Placing the client in a supine position is not recommended when caring for a client who is diagnosed with influenza. Option 2,3,4 and 5 are correct.

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communication is the interchange of information through thoughts, feelings, messages, or perceptions as by speech, gestures, writing, or behavior. the elements of the sender-receiver process include?

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Communication means transferring thoughts, information, emotion and ideas through gesture, voice, symbols, signs and expressions from one person to another, communication process they are Sender, Receiver and the Channel.

what is communication ?

Communication is a two-way process where it involves transfer of information or messages from one person or group to another.

This process goes on and includes a minimum of one sender and receiver to pass on the messages, it can either be any ideas, imagination, emotions, or thoughts.

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upon examination of an adult patient reporting ear pain, the physician discovered a large amount of cerumen in the canal. the order is to irrigate and instill two drops of aminoglycoside (tobramycin). for the procedure, the medical assistant should pull the

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Upon examination of an adult patient reporting ear pain and the presence of a large amount of cerumen in the canal, the medical assistant should pull the pinna upward and backward to straighten the ear canal for the irrigation and instillation procedure.

The correct technique for irrigation and instillation involves gently pulling the pinna (the outer part of the ear) upward and backward. This maneuver helps to straighten the ear canal, allowing for better access during the procedure. By pulling the pinna in this direction, the medical assistant can create a more direct pathway for the irrigation solution and the subsequent instillation of the aminoglycoside drops (tobramycin) into the ear canal.

This technique is important to ensure the proper flow and effectiveness of the irrigation process and the accurate placement of the medication within the ear canal. It helps to optimize the clearance of cerumen and facilitates the delivery of the medication to the affected area, promoting effective treatment and relief of the patient's ear pain.

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How did john watson have different view from sigmund freud ​

Answers

Explanation:

John Watson was fascinated by the discoveries of psychoanalysis, but he rejected Freud's central concept of the unconscious as incompatible with behaviorism.

Freud incorporated the concept of the unconscious to explain transference. Watson understood and was intrigued by Freud's definition of sexual transference, but he was searching for an explanation of transference that did not involve the unconscious (Watson & Morgan, 1917)

Answer:

John Watson was fascinated by the discoveries of psychoanalysis, but he rejected Freud's central concept of the unconscious as incompatible with behaviorism. After failing to explain psychoanalysis in terms of William James's concept of habit, Watson borrowed concepts from classical conditioning to explain Freud's discoveries. Watson's famous experiment with Little Albert is interpreted not only in the context of Pavlovian conditioning but also as a psychoanalytically inspired attempt to capture simplified analogues of adult phobic behavior, including the "transference" of emotion in an infant. Watson used his behavioristic concept of conditioned emotional responses to compete with Freud's concepts of displacement and the unconscious transference of emotion. Behind a mask of anti-Freudian bias, Watson surprisingly emerges as a psychologist who popularized Freud and pioneered the scientific appraisal of his ideas in the laboratory.

Explanation:

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a client has a tracheostomy tube attached to a tracheostomy collar for the delivery of humidified oxygen. what is the primary reason identified by the nurse for suctioning the client? 1. Humidified oxygen is saturated with fluid.
2. The tracheostomy tube interferes with effective coughing.
3. The inner cannula of the tracheostomy tube irritates the mucosa.
4. The weaning process increases the amount of respiratory secretions.

Answers

The correct option is 2. The primary reason for suctioning a client with a tracheostomy tube is that the tube interferes with effective coughing, leading to the accumulation of respiratory secretions that require removal to maintain a clear airway and prevent complications.

The primary reason identified by the nurse for suctioning a client with a tracheostomy tube attached to a tracheostomy collar for the delivery of humidified oxygen is option 2: The tracheostomy tube interferes with effective coughing.

1. Suctioning is necessary to remove accumulated respiratory secretions that cannot be cleared effectively by coughing due to the presence of the tracheostomy tube.

2. The tracheostomy tube bypasses the upper airway, which normally helps to clear secretions through effective coughing.

3. Without the ability to cough effectively, secretions can accumulate in the lower airways and obstruct the air passage, leading to potential respiratory complications.

4. Suctioning helps to remove these secretions and maintain a clear airway, promoting effective gas exchange and reducing the risk of respiratory distress or infection.

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when a client expresses anxiety about being given anesthesia, which team member should sit with the person and provide comfort during the induction? circulating nurse surgical assistant registered nurse first assistant certified registered nurse anesthetist

Answers

This is where the certified registered nurse anesthetist (CRNA) can play a crucial role in providing emotional support and comfort to the client. Option D. Certified registered nurse anesthetist

During the induction of anesthesia, it is common for clients to feel anxious or scared about the procedure. CRNAs are trained to administer anesthesia and closely monitor the client's vital signs, making adjustments as necessary during the procedure. In addition, they have expertise in managing potential complications that may arise from anesthesia. Sitting with the client during the induction process, the CRNA can answer questions, explain what to expect, and provide reassurance to help alleviate anxiety and promote a more comfortable experience for the client.

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Complete Question

When a client expresses anxiety about being given anesthesia, which team member should sit with the person and provide comfort during the induction? Is it:

A. Circulating nurse

B. Surgical assistant

C. Registered nurse first assistant

D. Certified registered nurse anesthetist

In what ways can you reduce confusion and be sure physicians receive the proper medical records? Be specific. Have you ever had the opportunity or the challenge of developing a file or tracking system. Share your experiences and what worked and what did not.

Answers

No, i did not experienced as such challenge of developing a file or tracking system. The defensibility of a case depends on the medical record, which occasionally poses the toughest challenge. A medical record's main objective is to give a thorough and accurate account of the patient's medical history.

What is medical record?

The medical record also serves a crucial secondary purpose, serving as the key piece of evidence in the successful defense of a claim for medical malpractice. A medical malpractice claim typically takes five years to be resolved.

This covers medical issues, diagnostics, your care and treatment, as well as the effects of those interventions. An accurate communication tool, a well-documented medical record reflects all clinically significant aspects of the patient's health.

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All of the following expressions are equal except _____. 2 ^ -3 8 1/8 2^1/2^4 math

Answers

Explanation:

Option 1 is \(2^{-3}\)

Property is : \(x^{-y}=\dfrac{1}{x^y}\)

So, \(2^{-3}=\dfrac{1}{2^3}=\dfrac{1}{8}\)

Option 2 is \(8\dfrac{1}{8}\)

We can write it as : \(8\dfrac{1}{8}=\dfrac{8(8)+1}{8}=\dfrac{65}{8}\)

Option 3 is \(\dfrac{2^1}{2^4}\)

Property is : \(\dfrac{x^a}{x^b}=x^{a-b}\)

So,

\(\dfrac{2^1}{2^4}=\dfrac{1}{2^3}\\\\=2^{-3}\\\\=\dfrac{1}{8}\)

It is clear that option a and c are same. But option b is different.

All of the following expressions are equal except 8. Then the correct option is B.

What is Algebra?

The analysis of mathematical representations is algebra, and the handling of those symbols is logic.

PEMDAS rule means for the Parenthesis, Exponent, Multiplication, Division, Addition, and Subtraction. This rule is used to solve the equation in a proper and correct manner.

The value of the expression in the fraction form will be

A.  2⁻³ = 1/2³ = 1/8

B.  8 = 8/1

C.  1/8

D.  2/2⁴ = 1/2³ = 1/8

All of the following expressions are equal except the number 8. Then the correct option is B.

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Jeremy Dale is a 30-year-old recreational sports enthusiast and likes to play soccer and baseball on his days off from work. He mentions to you, his coworker, that he thinks he might have sprained his ankle over the weekend while playing soccer with some friends. He says it is swollen and very painful today and asks whether you think he should see a doctor or just wait for it to get better. 1.) What might be some good recommendations for you to give Jeremy about his sports injury? 2.) what could you tell him in general about minor sports injuries? 3.)how could he determine whether this is a sprain or a strain? 4.) should he apply ice and elevate or compress the injured ankle ? 5.) is it too late for that treatment to be helpful ?​

Answers

Answer and Explanation:

1. The best recommendation to give Jeremy is that he see a doctor immediately, so that his injury is treated correctly and does not cause major problems.

2. We could tell Jeremy that minor sports injuries are small muscle stretches, which return to normal quickly if the correct procedure is applied.

3. Jeremy can determine if the injury was a sprain or strain by looking at the ankle bone. If the bone is out of place, it means it is a strain, if the bone is in place it is a sprain.

4. If it is confirmed that he has suffered a sprain, he should leave the injured ankle elevated to reduce the swelling. He should also apply ice, for 15 minutes and if possible to move his toes.

5. A treatment will always be useful, but it can present long and not as efficient results, but only a health professional can report correctly.

What does the article suggest about the use of punishment in learning under stressful situation? A) punishments are more easily remembered than rewarding consequences when under stress. B) rewarding behaviors, even under stress, is not as effective as punishments are. C) punishing behaviors is more effective than reinforcement when learning while under stress D) punishing behaviors is less effective and results in less accurate learning than reinforcement

Answers

According to the article, punishing behaviors is less effective and results in less accurate learning than reinforcement, as shown in option D.

We can arrive at this answer because:

Thorndike proved that punishing behavior in situations of stress is less effective in learning.He proved this by watching cats trying to escape puzzle boxes.When they became stressed, the cats screamed, bit, scratched and were punished without getting out of the box.This added to the stress and made them take even longer to escape.However, as they began to think about how they could get out of the box, the cats were receiving positive rewards and reinforcement, which was gratifying and encouraged them to find their way out.

In this case, Thorndike realized that punishment was not very effective in a stressful situation, at least when compared to reinforcement.

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Question 7 of 20 :
Select the best answer for the question.
7. Which one of the following statements is true of major complicating conditions (MCCs)?
O A. They often change the reimbursement for DRGs.
OB. They never change the reimbursement for DRGs.
O C. They decrease the reimbursement for DRGs.
D. They maximize the reimbursement for DRGs.
Mark for review (Will be highlighted on the review page)
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Answers

I think the answer it A. They often change the requirement for DRGS

By learning how to safely respond to man-made, technological, and national disasters, CERT volunteers contribute to:

Answers

For responded in the safely manner with respect to man-made, technological, national disasters, Here the CERT volunteers should contributed to the emergency management.

What is  emergency management?

It is the organization and the resource management where there should be the responsibility for deal out with the humanitarian aspect with regard to the emergiences.

Its focus is to prevent and decreased the harmful impacts of the hazards that involved the disasters.

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Which function performs complex I of electron transport chain system:
Transport of protons into the innermembrane space
Oxidation of NADH2 by coenzyme Q
Oxidation of cytochrome b by cytochrome c1
Oxidation of FADH2 by coenzyme Q
transports electrons from Cyt c to O2.

Answers

Answer:

Oxidation of NADH2 by coenzyme Q

Explanation:

Complex I (NADH-ubiquinone oxidoreductase) is the first enzyme of the electron transport chain, which is located in the inner mitochondrial membrane of eukaryotic cells. The main role of this complex is to oxidize nicotinamide adenine dinucleotide H (NADH) which is donated from glycolysis and the citric acid cycle and transfer 2 electrons from NADH to flavin mononucleotide (FMN). Subsequently, these two electrons are used to reduce Coenzyme Q (i.e. ubiquinone) to ubiquinol. Ubiquinone is a fully oxidized coenzyme Q10, whereas ubiquinol is a fully reduced form of this enzyme.

definition 1 - forms the m line of the sarcomere. it also binds to titin molecules and connects adjacent thick filaments to one another.titinmyomesinalpha-actininmyosin and actinmyosinactinnebulintropomyosin and troponindystrophintitin, alpha-actinin, myomesin, nebulin and dystrophintroponintropomyosin

Answers

The definition provided is referring to the protein complex known as "titin." Titin forms the M line of the sarcomere, which is the structural unit of a muscle fiber. It binds to thick filaments, which are made up of the protein myosin, and connects adjacent thick filaments to one another. The other protein options listed in the answer choices are also involved in the structure and function of the sarcomere, but they do not form the M line or perform the specific functions described in the definition.

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which of the following is a symptom of acromegly?​

Answers

Answer:

Symptoms of acromegaly

swollen hands and feet – you may notice a change in your ring or shoe size. tiredness and difficulty sleeping, and sometimes sleep apnoea. gradual changes in your facial features, such as your brow, lower jaw and nose getting larger, or your teeth becoming more widely spaced.

Explanation:

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