In assessing a 15-year-old girl with amenorrhea, the nurse may identify certain findings in the health history and physical exam that suggest potential underlying causes.
Amenorrhea, the absence of menstrual periods, in a 15-year-old girl requires careful evaluation to determine the underlying cause. During the health history, the nurse may inquire about the girl's growth and development, including any delays or abnormalities in sexual maturation.
Factors such as excessive exercise, low body weight, or eating disorders may contribute to amenorrhea. Additionally, the nurse may explore the girl's family history, looking for any conditions that could affect reproductive health, such as polycystic ovary syndrome (PCOS) or thyroid disorders.
The physical exam may reveal signs such as delayed or abnormal secondary sexual characteristics, including absent breast development or sparse pubic hair, which could indicate a hormonal imbalance or disorder.
Other findings to consider include signs of excessive androgen production, such as acne or hirsutism (excessive body hair), which could suggest PCOS. In some cases, further diagnostic tests or referrals to specialists may be necessary to determine the precise underlying cause of amenorrhea in the adolescent girl.
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Relating to special evaluation and Management services basic life and on or disability evaluation services and work-related or medical disability evaluation services are only used when the insurance is asking for specific examination claims true or false
False. Basic life and disability evaluation services, as well as work-related or medical disability evaluation services, can be used for various reasons beyond insurance claims, such as employer requests or individual needs for government benefits or accommodations.
Basic life and disability evaluation services, as well as work-related or medical disability evaluation services, can be used for various reasons beyond insurance claims. For example, employers may request disability evaluations to determine if an employee is able to perform their job duties, or individuals may seek disability evaluations to qualify for government benefits or accommodations. Insurance companies may request these services as part of their claims process, but they are not the only ones who can request them.
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the binet simon scale was originally developed to ___
Answer:
_measure intelligence.
Explanation:
Binet and his student Simon first created it because they were asked by the French government to come up with a way to identify children who were slow/behind. So, they invented a scale called the Binet Simon scale dedicated to measuring intelligence.
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4. Mrs. Robins states that she should not have her blood pressure taken on her left arm
because she has had a mastectomy. She indicates that her lymph nodes were also removed on
that side and the doctor told her not to have her blood pressure taken on that side. Why would a
doctor say this? You may need to refer to the Internet for the reason why
Answer:
Its precautionary to prevent lymphedema.
Explanation:
Sometimes, removing lymph nodes can make it hard for your lymphatic system to drain properly. If this happens, lymphatic fluid can build up in the area where the lymph nodes were removed. This extra fluid causes swelling called lymphedema.
The surgical partial or total removal of one or both breasts is referred to medically as a mastectomy. Breast cancer is typically treated with a mastectomy. Women who are thought to have a high risk of developing breast cancer occasionally have the procedure done as a preventative step.
What is Lymphedema?Lymphedema is caused by a blockage in the lymphatic system. This is usually the result of a traumatic event, such as a sports injury or deep cuts and bruises, or as a side effect of surgery or cancer treatment. Lymphedema can occur as a birth defect or as a symptom of infection in rare cases. Precautions are required to prevent lymphedema. When lymph nodes are removed, your lymphatic system may struggle to discharge properly on occasion. If this occurs, lymphatic fluid may accumulate where the lymph nodes were removed. Lymphedema is a swelling caused by extra fluid. It is critical to understand that lymphedema can sometimes become severe and cause serious problems, and that it is frequently a long-term or chronic condition.To learn more about Mastectomy refer to:
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PEDIATRIC CALCULATIONSExample: A child weighing 76 lbs. is ordered to receive 150 mg of Clindamycin every six (6) hours. The recommended pediatric dose is 8-20 mg / kg / day in four divided doses.The Clindamycin is supplied in 100 mg scored tablets.1. What is the weight in kg
Complete question: A child weighing 76 lbs. is ordered to receive 150 mg of Clindamycin q6h.
The pediatric drug handbook states the recommended dose is 8-20 mg/kg/day in four divided doses.
The Clindamycin is supplied in 100 mg scored tablets.
1.) What is the weight in kg?
2.) What is the safe total daily dose?
3.) Is the prescribed dose safe?
4.) Calculate the number of tablets to give.
Answer:
1.) 34.55 kgs
2.) 276.36 - 690.91 mg/day
3.) YES
4.) 1.5 tablets
Explanation:
Paediatric calculations are performed by medical personnel using the child's weight to avoid medication errors. Clindamycin is a broad spectrum antibiotics which is used for the treatment of different infections both in adult and children. It's dosage should be properly calculated by the medical personnel to avoid drug abuse and serious adverse effects.
1.) To calculate the body weight of the child from pound( lbs) to Kilogram ( kg):
1 kg = 2.2 lbs
Therefore 76 lbs ÷ 2.2 = 34.55 kgs
2.) To determine the safe total daily dose:
The recommended pediatric dose is 8-20 mg / kg / day in four divided doses.
Therefore, safe total daily dose: 34.55 x 8 = 276.36 mg
34.55 x 20 = 690.91 mg
safe dosage range: 276.36 - 690.91 mg/day
3.) To determine if the prescribed dose is safe is:
150 mg x 4 doses/day = 600 mg/day;
Since 600 mg/day is within the safe dosage range which is 276.36 - 690.91 mg/day, the prescribed dose is SAFE.
4.) To determine the number of tables to give:
Note that the Clindamycin is supplied in 100 mg scored tablets. But the child is ordered to receive 150mg of Clindamycin. Therefore the number of tablets to receive is;
150 ÷ 100 = 1.5 tablets.
Pet cloning is now available at the local mall. You used to have a pet cat name Charlie, but he died two years ago. Now you learn that you can get a new Charlie by just bringing in a sample of his hair. What do you do?
a. Find a strand of Charlie’s hair as soon as possible. Can’t wait to see Charlie again!
b. Let sleeping cat lie. (Don’t clone Charlie)
Answer:
A
Can’t wait to see Charlie again!
Dr. Swartz, a general practitioner, is usually late for all his appointments, and patients have to wait for hours to see him. At present, he has open office hours. He wants to shorten the waiting time but still be assured that he has patients to see throughout the day. Why do you think that patients would prefer appointments? Why not?
A mixture of 0.20M acetic acid and 0.30M sodium acetate is given. Calculate the pH of the medium if the pKa of the acetic acid is 4.76.
Explain the frequent occurrence of skeletal metastases in the lower vertebral column and pelvic bones of patients with carcinoma of the prostate.
Answer:
Bone metastasis
Explanation:
the relative incidence of bone metastasis by type of tumor,...... Mixed, if a patient has both osteolytic and osteoblastic lesions
A doctor is explaining treatment options to a patient by using complicated medical jargon, and the patient appears to be
confused. This is best described as a(n)
Answer:
Explanation: Communication barrier
Ms. Smart is the coding supervisor for Sunny Valley Hospital. She is organizing a coding training on ICD-10-PCS. She is reviewing the ICD-10-PCS Code Manual for a code for a robotic-assisted procedure completed on the arm via an open incision. The code she should use in addition to the code for the procedure being coded is code ________________________.
Answer: S2900
Explanation:
The code for a technique during surgery that would require the doctor to use robotic assistance is S2900. The title of the code is ''Surgical techniques requiring use of robotic surgical system''.
It is worth knowing that Medicare does not cover this procedure separately because it is considered a tool in the surgery much like any other tool with the difference being that it is more sophisticated.
Describe the three layers of the eye
Answer:
The eye is shaped like a round ball, with a slight bulge at the front.
The eye has three main layers. These layers lie flat against each other and form the eyeball.
The outer layer of the eyeball is a tough, white, opaque membrane called the sclera (the white of the eye). The slight bulge in the sclera at the front of the eye is a clear, thin, dome-shaped tissue called the cornea.
The middle layer is the choroid. The front of the choroid is the colored part of the eye called the iris. In the center of the iris is a circular hole or opening called the pupil.
The inner layer is the retina, which lines the back two-thirds of the eyeball. The retina consists of two layers: the sensory retina, which contains nerve cells that process visual information and send it to the brain; and the retinal pigment epithelium (RPE), which lies between the sensory retina and the wall of the eye.
Explanation:
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Dorothy Grant is in one of the special populations that are vulnerable to abuse. Identify this population, as well as the other special populations that are most vulnerable to abuse. What is the most widespread form of family violence? NEED ASAP 11/22/20
how high is the chance of getting pregnant with straight parents
Answer:
You tell me...
Explanation:
Answer:
30 percent get pregnant within the first cycle (about one month). 60 percent get pregnant within three cycles (about three months). 80 percent get pregnant within six cycles (about six months). 85 percent get pregnant within 12 cycles (about one year).
In your own words explain the steps into creating a vaccine.
55 points
In software terms, a(n)
is a failure or flaw in a computer system that causes an undesired or incorrect outcome.
Answer:
Software bug
Explanation:
A software bug is an error, flaw or fault in the design, development, or operation of computer software that causes it to produce an incorrect or unexpected result, or to behave in unintended ways.
What part of the brain stem exerts the greatest control of respiration?
Medulla oblongata Part of the brain stem that controls respiratory and cardiovascular functions.
The part of the brain stem that exerts the greatest control of respiration is the Medulla oblongata.
What is the Medulla oblongata?The Medulla oblongata (also simply known as medulla) is a brain region linked by the pons to the midbrain.
The Medulla oblongata is located in the lowest portion of the brainstem region.This region of the brain (Medulla oblongata) is responsible for controlling respiratory and cardiovascular systems.In conclusion, the part of the brain stem that exerts the greatest control of respiration is the Medulla oblongata.
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Mark enters a patient's room and finds the patient kneeling on the floor. The patient is chanting something that Mark does not understand. He realizes that the patient is praying and most likely a Muslim. What should he do?
Answer:
Mark should try to be respectful and not interrupt the patient while they are praying. If the patient is comfortable doing so, he could ask them if they would like him to wait until they're finished before continuing the conversation. He could also ask if there is anything he can do to help make the patient more comfortable. Additionally, he could show respect for the patient's religious beliefs by asking if there is anything else he can do to help them during the prayer.
Explanation:
The patient's right to worship should be respected. It is not in order if Mark interrupts the patient while in prayers. Interrupting the patient while praying can be termed as a violation of his fundamental right to worship.
Why do emulsions require an emulsifying agent? How does it work?
Answer:
Because it has oil and aqueous phases in it.
Explanation:
Emulsion is a biphasic system which has two substances oil and water.
Oil and water are immiscible and emulsifier is required to make them miscible.
Inappropriate lifestyle choices are a major cause of premature death due to coronary heart diseases.
Identify risk factors that may trigger a heart attack and discuss the specific lifestyles choices that can help prevent coronary heart disease?
Risk factors that may trigger a heart attack include smoking, high blood pressure, high cholesterol levels, obesity, physical inactivity, and unhealthy diet.
Lifestyle choices play a crucial role in preventing coronary heart disease. Adopting specific lifestyle choices can help reduce the risk and prevent coronary heart disease.
Smoking is a significant risk factor for heart attacks. It damages the blood vessels, increases blood pressure, and promotes the development of plaque in the arteries. Quitting smoking is crucial to reduce the risk of coronary heart disease.
High blood pressure (hypertension) puts strain on the heart and arteries, increasing the risk of heart attacks. Maintaining a healthy blood pressure through regular exercise, managing stress, and reducing sodium intake can help prevent coronary heart disease.
High cholesterol levels, specifically high levels of LDL cholesterol ("bad" cholesterol), contribute to the buildup of plaque in the arteries. Making dietary changes to reduce saturated and trans fats, increasing consumption of healthy fats (e.g., omega-3 fatty acids), and maintaining a healthy weight can lower cholesterol levels and reduce the risk of coronary heart disease.
Obesity and excess body weight increase the strain on the heart and increase the risk of cardiovascular diseases. Engaging in regular physical activity and adopting a balanced, nutrient-rich diet can help achieve and maintain a healthy weight, reducing the risk of coronary heart disease.
Physical inactivity is a major risk factor for heart disease. Regular exercise strengthens the heart, improves circulation, and helps maintain a healthy weight. Engaging in at least 150 minutes of moderate-intensity aerobic activity per week, along with muscle-strengthening activities, is recommended for cardiovascular health.
Unhealthy diets high in saturated and trans fats, added sugars, and sodium increase the risk of heart disease. Opting for a diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats can help prevent coronary heart disease.
By adopting a healthy lifestyle that includes quitting smoking, managing blood pressure and cholesterol levels, maintaining a healthy weight, being physically active, and following a nutritious diet, individuals can significantly reduce the risk of coronary heart disease and promote overall cardiovascular health.
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What is the root and suffix of neurosurgeon
Answer:
Explanation:
neuro- comes from Greek, where it has the meaning "nerve, a combining form meaning "nerve,'' "nerves,'' "nervous system,'' used in the formation of compound words:neurology.
Suffix meaning nerve or nerves
Triglycerides are composed of _____.
(a) a 3
3 carbon alcohol
(b) 3
3 long chain fatty acids
(c) phosphate groups
(d) Both (a) and (b)
(e) (a), (b), and (c).
Triglycerides are composed of three long chain fatty acids and a three-carbon alcohol called glycerol. Therefore, the correct option is d) both (a) and (b).
Triglycerides, also known as triacylglycerol's, are a type of lipid molecule that is found in many types of organisms, including plants and animals. They are the main component of body fat and serve as a long-term energy storage source in the body. Triglycerides are composed of three fatty acid molecules bound to a glycerol molecule through ester linkages. The length and saturation of the fatty acid chains can vary, giving rise to different types of triglycerides with different physical properties. Triglycerides are transported in the bloodstream by lipoproteins and can be broken down by enzymes called lipases to release energy for the body to use. High levels of triglycerides in the blood have been associated with an increased risk of cardiovascular disease.
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Which of the following statements is true?
It was the Greek philosopher Aristotle who first defined psychology as the “scientific study of behavior and mental processes.”
In contemporary psychology, the nature–nurture issue explores the influence of hereditary versus environmental factors on behavior.
The mind-body issue has now been settled and psychologists no longer explore the relationship between mental activity and the brain.
The principle of interactive dualism was formulated by Aristotle more than 2,000 years ago.Which of the following statements is true?
Answer:
It was the Greek philosopher Aristotle who first defined psychology as the “scientific study of behavior and mental processes.”
____ penicillin kills bacteria was discovered in 1928 by Alexander Fleming.
a.what
b.that
c.who
d.which
e.when
You are driving down a street when you notice a house is on fire. A person who you
assume is the owner is sitting on the front lawn, although you cannot immediately tell if
the person is injured or just upset. Emergency medical services (EMS) personnel are not
on the scene-in fact, it appears that no one is even aware of the situation. You decide to
stop and help. What are the first basic steps you should take?
The first step you should take in the given situation is to call 911, so that emergency medical services (EMS) personnel will be informed.
There are some basic steps in providing first aid and they include the following;
Assess the situationPlan for intervention Implement first aidEvaluate the situationFor the given scenario, after assessing the situation, you will definitely notice that the situation is a critical one. The first step to take as untrained professional is to get help before approaching the scene.
You can help by calling 911 so that emergency medical services (EMS) personnel will be informed, after which you keep the person safe before the emergency team arrives.
Thus, we can conclude that the first step in the given situation is to call 911.
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Answer:
911
Explanation:
An antibiotic that is only effective against a limited array of different microbes is called a narrow spectrum antibiotic. True or false?
The statement "An antibiotic that is only effective against a limited array of different microbes is called a narrow-spectrum antibiotic" is indeed true.
Narrow-spectrum antibiotics are medications that are effective against a limited range of microbes. They specifically target and combat only a few types of bacteria that cause infections. These antibiotics are typically prescribed once the specific bacterial species responsible for the infection has been identified through laboratory tests and analysis.
The advantage of narrow-spectrum antibiotics lies in their ability to selectively target and destroy a particular group of bacteria, while minimizing disruption to beneficial bacteria in the body. By focusing on specific bacteria, these antibiotics allow the natural balance of beneficial bacteria to remain undisturbed, reducing the risk of unnecessary harm or disruption to the body's microbiota.
In contrast, broad-spectrum antibiotics have a wider range of effectiveness, targeting a broader spectrum of bacteria. While broad-spectrum antibiotics may be useful in treating a variety of infections, they can also lead to the destruction of beneficial bacteria, potentially causing imbalances or complications.
Antibiotics, regardless of their spectrum, work by specifically targeting the cells of bacteria, interfering with their growth or killing them, while sparing human cells from harm. This targeted approach helps to eradicate bacterial infections while minimizing harm to the patient's own cells and tissues.
To summarize, narrow-spectrum antibiotics are specifically effective against a limited range of microbes. They offer a targeted and precise treatment approach, allowing beneficial bacteria to remain undisturbed, and are prescribed once the specific bacterial species causing the infection has been identified.
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Mrs. Allen has a rare condition for which two different brand name drugs are the only available treatment. She is concerned that since no generic prescription drug is available and these drugs are very high cost, she will not be able to find a Medicare Part D prescription drug plan that covers either one of them. What should you tell her?
She should use the more effective drug for the treatment of the disease in order to treat her condition.
What she do for the treatment of her disease?She should use the drug which is more effective in the treatment of her rare condition because that drug which is more effective, treat her disease very fast as compared to other drug which has low effectiveness.
So we can conclude that she should use the more effective drug for the treatment of the disease in order to treat her condition.
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Answer:
Medicare prescription drug plans are required to cover drugs in each therapeutic category. She should be able to enroll in a Medicare prescription drug plan that covers the medications she needs.
Explanation:
Which of the following is NOT a property of an antagonist drug?
a. receptor attraction
b. receptor blocking
c. receptor activation
d. receptor inhibition
Which drug component in plasma is therapeutically effective?
a. cleared drug
b. attached drug
c. bound drug
d. free drug
The role of GLUT-4 includes:
a. permitting insulin out of the cell
b. permitting insulin into the cell
c. permitting glucose out of the cell
For patients receiving dialysis, one of the aims apart from removal of excess fluid volume is to:
a. remove serum calcium
b. remove serum potassium
c. increase serum phosphate
d. increase extracellular fluid volume
d. permitting glucose into the cell
You would assess the client with severe breathlessness for which acid-base imbalance?
a. respiratory acidosis
b. respiratory alkalosis
c. metabolic acidosis
d. metabolic alkalosis
A client with an exacerbation of COPD is admitted to the hospital. She can only talk in single words and her respiratory rate is 38 breaths per minute, oxygen saturation is 87% on 4 litres per minute (LPM) of O2. When assessing the client, the nurse should:
a. conduct a complete health history
b. complete a comprehensive physical examination
c. delay assessment until client’s respiratory distress is resolved
d. focus assessment on the respiratory system and distress
What is the most appropriate nursing intervention to promote airway clearance for a patient who has thick sputum?
a. assist the patient to splint the chest with a pillow when coughing
b. encourage the patient to restrict fluid intake
c. instruct the patient to keep nasal oxygen cannula in place
d. encourage the patient to mobilise
Early signs of respiratory depression include which of the following?
a. decreased respiratory rate and paradoxical breathing
b. cyanosis and hypertension
c. decreased respiratory rate and decreased oxygen saturations
d. shallow respirations and tachypnoea
1. Receptor activation is a property of antagonist drugs. option C is the answer.
2. Free drug component in plasma is therapeutically effective. The correct option is option D .
3. Permitting insulin into the cell is the role of GLUT-4. The correct option is option B.
4. For patients receiving dialysis, one of the aims apart from removal of excess fluid volume is to remove serum potassium. The correct option is option B.
5. The client with severe breathlessness would typically be assessed for respiratory acidosis. The correct option is option A.
6. The nurse should focus assessment on the respiratory system and distress. The correct option is option D.
7. The most appropriate nursing intervention to promote airway clearance for a patient with thick sputum is option D: encourage the patient to mobilize.
8. The early signs of respiratory depression include decreased respiratory rate and decreased oxygen saturations. Option c, is the correct answer.
Receptor Activation1. Receptor activation is the process by which a receptor, usually a protein molecule found on the surface or inside a cell, is stimulated and starts a particular biological reaction inside the cell or organism.
2. The free drug component in plasma refers to the portion of a drug that is not bound to proteins and is freely available for distribution and interaction with its target in the body
3. GLUT-4, also referred to as glucose transporter type 4. The main function of GLUT-4 is to facilitate the transport of glucose from the bloodstream into these tissues in response to insulin
4. The main role of dialysis is to remove waste products, excess fluid, and toxins from the blood and maintain proper electrolyte balance in the body.
5. When blood levels of carbon dioxide (CO2) become too high, the body's acid-base balance becomes unbalanced, which is known as respiratory acidosis, a medical ailment.
6. Respiratory distress refers to a condition in which a person experiences difficulty breathing or shortness of breath
7. Airway Clearance
The patient can easily clear their airway as a result of movement and physical exercise that helps to loosen and mobilize secretions. This may entail exercises like walking, deep breathing, or shifting positions.
8. Respiratory Depression
Reduced breathing rate and depth cause insufficient oxygenation of the body's tissues, which is a symptom of respiratory depression. It can happen owing to certain medical disorders, as well as a side effect of some drugs or substances.
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Which of the following is an example of a chronic disease?
Diabetes
Flu
Salmonella
Tuberculosis
Answer:
Diabetes
Explanation:
You can have Diabetes throughout your whole life!
Answer:
Diabetes in an example of a chronic disease.
Explanation:
a pregnant patient is unable to curtail her alcohol abuse. which nursing intervention would be performed to reduce complications in the fetus
The nursing intervention that should be performed to reduce complications in the fetus of a pregnant patient that is unable to curtail their alcohol abuse is to suggest that the client take a multivitamin supplement.
Drinking alcohol during pregnancy would increase the risk of miscarriage and premature birth. It also affects the baby after they are born, ranging from having a low birth weight to developing an FASD or fetal alcohol spectrum disorder.
Research has found that taking multivitamin supplements might decrease the risk of miscarriage which is associated with alcohol abuse during pregnancy. However, it still does not allow alcohol abuse during pregnancy.
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the doctors, nurses, paramedics and other emergency medical personnel are an important part of emergency medical services what is an example of a duty of these professionals
An example of the duty of these professionals is to alleviate the suffering of patients as much as possible.
Why is this duty extremely important?Because the patients in the emergency area are in great pain.Because the emergency team needs to save the patient.The medical emergency team does a very difficult job, which is to help patients in serious conditions, who are suffering a lot and need quick care.
In addition to saving the patient, emergency medical professionals need to alleviate the patient's suffering as much as possible, providing care and attention that make the experience as traumatic as possible.
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