The comparative study titled "Survival, Healthcare Utilization, and End-of-Life Care Among Older Adults with Malignancy-Associated Bowel Obstruction: Comparative Study of Surgery, Venting Gastrostomy, or Medical Management" examines different treatment approaches for older adults with malignancy-associated bowel obstruction.
The study aims to assess the impact of three interventions: surgery, venting gastrostomy, and medical management on survival, healthcare utilization, and end-of-life care in this specific patient population.
The study compares the outcomes and associated healthcare resource utilization of these interventions. Surgery involves the surgical removal of the obstruction, venting gastrostomy involves the placement of a feeding tube to decompress the bowel, and medical management focuses on non-operative approaches such as palliative care and symptom control.
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An infant born at 37-weeks gestation, weighing 4.1 kg (9.02 pounds) is 2 hours old and appears large for gestational age, flushed, and tremulous. What procedure should the nurse follow to implement a glucose screening? (Arrange the examination process from first on top to last on the bottom.)
1 Collect a spring-loaded automatic puncture device. 2 Cleanse puncture site on the lateral aspect of the heel. 3 Restrain the newborn's foot with your free hand. 4 Wrap the infant's foot with a heel warmer for 5 minutes.
The procedure that the nurse should follow to implement a glucose screening for the infant born at 37-weeks gestation, weighing 4.1 kg (9.02 pounds).
Exhibiting signs of being large for gestational age, flushed, and tremulous is as follows:
1. Wrap the infant's foot with a heel warmer for 5 minutes.
2. Collect a spring-loaded automatic puncture device.
3. Cleanse puncture site on the lateral aspect of the heel.
4. Restrain the newborn's foot with your free hand.
This sequence ensures that the puncture site is clean and the heel is warmed to increase blood flow, making it easier to obtain a sample for the glucose screening. The spring-loaded automatic puncture device is then used to obtain a small amount of blood from the puncture site while the nurse restrains the newborn's foot.
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Jane Swenson has been suffering from a cold for about a week and has missed 3 days of work. She decides to return to work at the local senior citizen center. She is still coughing at intervals and has a runny nose but has improved since last week. Should she still use some precautions to prevent spreading her illness
Answer:
Yes
Explanation:
Staying a safe distance from.the senior citizens with weak immune systems to protect them. Spend time with some of them that have a stronger immune system
what 2 aspects of echocerdiography are more reproducible in 4d echo imaging over 2d
The two aspects of echocardiography that are more reproducible in 4D echo imaging over 2D are left ventricular volume and systolic function.
What is echocardiography?Echocardiography is a diagnostic technique that uses ultrasound echoing to measure the functioning of the heart.
The instrument used is called an echocardiogram and the results of an echocardiogram can be obtained in either 2D, 3D, or 4D.
2D echocardiography imaging only produces images
4D echocardiography produces live video feeds about the functioning of the heart.
Hence, results produced by 4D echocardiography are more accurate and reproducible.
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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.
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.
which program pays for physician services, outpatient hospital care, and durable medical equipment?
The program that pays for physician services, outpatient hospital care, and durable medical equipment is Medicare Part B. Medicare is a U.S. government health insurance program, and Part B specifically covers these services and equipment for eligible individuals.
Medicare is the American programme that primarily covers doctor visits, outpatient hospital care, and durable medical equipment. Medicare is a government health insurance programme mostly for people over the age of 65 and certain younger people with disabilities. Part B, which deals with doctor services, outpatient treatment, and durable medical equipment, is one of its many parts.
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Which is an important assessment step to identify risk for HIV?
Answer:
Sexual and drug substance use risks should be determined during a routine health history with every new patient and updated regularly during periodic health care.
Risk assessment helps to identify individuals at risk; support recommendations for HIV, STD, and hepatitis screening; and establish risk reduction education topics and strategies.
Risk assessment can help people who are already infected access treatment
and learn how to avoid transmitting HIV to others.
Explanation:
The game starts when one person serves from anywhere behind the __________.
Group of answer choices
back row
sideline
baseline
anywhere
Answer:
baseline
Explanation:
l think hope that helps
Ony, a 30-year-old male, is overweight and has slightly elevated blood sugar levels. to prevent full-blown diabetes, it is best that he tony, a 30-year-old male, is overweight and has slightly elevated blood sugar levels. to prevent full-blown diabetes, it is best that he start an exercise program take slimming herbal teas go on a very-high-protein diet get a prescription for insulin quizlet
Tony, a 30-year-old male, is overweight and has slightly elevated blood sugar levels. To prevent full-blown diabetes, it is best that he start an exercise.
Utilizing your muscles promotes insulin function and aids in the burning of glucose. Because of this, blood glucose levels often decrease during exercise. But after exercise, your blood sugar level may also increase.
Stress hormones are produced by some exercise, such as hard weightlifting, sprinting, and competitive sports (such as adrenaline). By encouraging your liver to release glucose, adrenaline increases blood glucose levels.
Consuming food before or during exercise may also cause your blood sugar to increase. If you consume too many carbohydrates before working out, your sweat session might not be sufficient to keep your blood glucose levels within the target range.
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Name
momory
1
Section
Date
4 You are riding with an ambulance crew who is called to the scene of a motor vehicle accident caused by texting
while driving. As the paramedics are loading one of the victims into the ambulance, you are asked to describe
his most serious wounds to the emergency department so they can be prepared for his arrival. Describe the
location of his wounds, indicated on Figure 1. 20 by three X marks, using at least three correct regional and
directional terms.
A
C
Х
XB
Based on Figure 1, it appears that the victim has three wounds marked by X's on the body. The wound marked by XA is located on the left side of the head, above the ear. The wound marked by XB is located on the right side of the chest, near the armpit. The wound marked by XC is located on the right leg, near the knee.
Some additional regional and directional terms that could be used to describe the location of these wounds include:
XA: anterior, superior, lateral
XB: posterior, superior, medial
XC: posterior, inferior, medial
Which of the following are feasible application of unknown bacterial species identification?
a) environmental microbiologists studying ape species to determine which would be the best model organisms to stimulate human disease
b) environmental microbiologists identifying species to monitor ecosystems response to stress
c)agricultural microbiologists identifying species to treat outbreaks among crops or livestock
d) clinical microbiologists studying the microorganisms to determine which would best produce synthetic plastics
e) agricultural microbiologists studying the microorganisms that maintain soil fertility by transforming nutrients through degradation and nitrogen fixation
Feasible application of unknown bacterial species identification: e) agricultural microbiologists studying microorganisms that maintain soil fertility by transforming nutrients through degradation and nitrogen fixation.
What are feasible applications of unknown bacterial species identification?Microbiologists must identify bacterial isolates for several practical reasons, like medical diagnostics, identifying pathogen isolated from a patient and identifying microbial contaminant responsible for food spoilage.
Accurate and definitive microorganism identification, including bacterial identification and pathogen detection is important for correct disease diagnosis, treatment of infection and trace-back of disease outbreaks associated with the microbial infections.
Identification of unknown bacteria is an integral module in most introductory Microbiology laboratory courses that involves identifying bacteria based on morphology, Gram reaction, and biochemical characteristics of bacteria.
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You have recognized that the main copier in the office has repeated errors with paper jamming from the first
paper tray. you tried to troubleshoot, but you were unable to resolve the error. at this point, the best method
for handling this issue is to:
a)disassemble the top tray of the copier and oil the paper uptake.
b)enter the problem in the equipment repair log and follow the policy to initiate a service call.
c)summon the provider from the exam room and ask that they assist in repairing the copier.
d)call the practice manager and ask her to walk you through the troubleshooting process.
Answer:
call the practice manager and ask her to walk you through the troubleshooting process.
Explanation:
Call the practice manager and ask her to walk you through the troubleshooting process. Hence option d is correct.
What is troubleshooting process?Troubleshooting is defined as a methodical procedure used to identify the root cause of a computer system error and fix the associated hardware and software problems. A rational and thorough approach to problem solving is necessary for a good conclusion. A methodical method of problem-solving is troubleshooting.
Paper that is tangled, torn, curled, or curved might jam the loading mechanism. A jammed printer can be caused by overfilling the paper tray, putting multiple paper thicknesses in the tray, or using paper that isn't designed for your specific printer.
Thus, call the practice manager and ask her to walk you through the troubleshooting process. Hence option d is correct.
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why does accumulation of co2 in the blood leads to acidosis?
lungs can’t remove enough of the carbon dioxide (CO2) that the body produces
Excess CO2 causes the pH of your blood and other bodily fluids to decrease, making them too acidic.
This is called respiratory acidosis
Damage to the occipital lobe would most likely affect a person’s.
Injury to the occipital lobes may lead to vision impairments such as blindness or blind spots; visual distortions and visual inattention. The occipital lobes are also associated with various behaviors and functions that include: visual recognition; visual attention; and spatial analysis.
What is the appropriate procedure for using an ice water bath with a student who is having a serious heat reaction?
Immediately immerse the player entirely into the ice bath.
Remove the student's equipment and shirt, and then submerge all but the head in the ice water bath.
Cool the student down before going to an ice bath to avoid shocking their system. Wait for EMS to arrive to determine if an ice bath is appropriate treatment.
An ice water bath with a student suffering from heat reaction is used by removing the student's equipment and clothes and then submerging all but the head in the ice water bath. Thus, option b is correct.
What is an ice water bath?An ice water bath is a method and cold therapy that reduces inflammation, soothes muscles, provides a boost, and enhances the breathing rate. It can be used for medical issues like heat reactions.
To use the ice bath the excess clothes of the person suffering must be removed so that the increased temperature is dealt with. The water in the tub must be about 35-58 degrees Fahrenheit in temperature.
Emerge the whole body except for the head of the person in the water for approximately 30 minutes. Add ice to maintain the cold temperature and then lift the person when the body temperature is reduced.
Therefore, the ice bath is given in case of heat reaction.
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Muscle mass can affect a person's flexibility. Please select the ...
Muscle mass can affect a person's flexibility. This statement is true.
What are muscles?
The human body has more than 600 muscles. Some muscles help the body move, lift or sit still. Others may help in digestion of food, breathing or sight.
Muscles are actually soft tissues. Different muscles have different types of roles. Maintaining a healthy lifestyle helps keep the muscles strong and work like they should.
Some muscles have voluntarily control, with the help of the nervous system, whereas some muscles have involuntary control. Muscles are of different types. They are as follows:
Skeletal: skeletal muscles work with the bones, tendons and ligaments. Skeletal muscles are attached to bones by tendons all over the body. They support the weight of the body and help in movement. These are also voluntary muscles.
Cardiac: Cardiac muscles line the walls of the heart. These are involuntary muscles. Cardiac muscles help the heart pump blood that travels through the cardiovascular system
Smooth: Smooth muscles line the insides of organs like the bladder, stomach and intestines. These muscles are also involuntary.
So, therefore, muscle mass can affect a person's flexibility.
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The pregnant mother who has had no prenatal care comes to the labor and delivery department with ruptured membranes. The history of group B streptococcus (GBS) is unknown. The mother states she has no known drug allergies. The nurse will prepare to administer which drug to this mother?
Ideally, the nurse should use penicillin g.
Why is this medicine necessary?To prevent infections.To reduce the possible actions of bacteria.As the patient did not undergo prenatal care, it is not possible to identify a specific risk of infection, in addition to those present in any surgery. In this case, it may be appropriate to use penicillin G, which is a common antibiotic that is effective against a wide range of bacteria.
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The physician orders a medication to be given 30 MG/KG to be given in two equally divided doses for a child who weighs 70 pounds what is the daily amount to be given
Answer:
Two doses of 476,2716mg.
Explanation:
The information that we have is:
Dosis: 30mg/kg. Child's weight: 70 pounds.The number of doses: two.First, we have to convert pounds to kilograms using the rule of three.
70 pounds x 0.453592 kg = 31.75144 kg
1 pound
Now we know that a child needs 30 mg of the medication per kilogram, so for 31.75144 kg, how much medication the child needs?
We have another rule of three
30mg x 31.75144= 952.5432 mg
1kg
The total dose for a child that weighs 70 pounds is 945mg. As he needs two equally divided doses, we have to divide the dose in half.
945mg÷2= 476.2716 mg
a mother calls the pediatric clinic to ask when her daugher will receive varicella vaccine your anser to her question is
The answer to the mother's question about when the varicella vaccine is given is at 12 months and 4 to 6 years. The correct answer is option a.
The varicella vaccine is an immunization that protects against chickenpox, an infection caused by the varicella-zoster virus (VZV).
It's a two-dose vaccine that is typically given to children as part of their regular vaccination schedule.
The first dose is given between the ages of 12 and 15 months, while the second dose is given between the ages of 4 and 6 years.
So, the correct answer is option a. 12 months, 4 to 6 years.
The complete question is -
A mother calls the pediatric clinic to ask when her daughter will receive the varicella vaccine your answer to her question is
a. 12 months, 4 to 6 years.
b. 2,4,6 months.
c. 4 months, 4 to 6 years.
d. 6,12 months.
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Following return of spontaneous circulation, you are ordered to begin a lidocaine infusion at 3 mg/min on your 50-year-old patient. You add 2 g of lidocaine to a 500 mL bag of normal saline and are using a microdrip administration set. At how many drops per minute (gtts/min) will you set the IV flow rate?
To calculate the IV flow rate in drops per minute (gtts/min), we first need to determine the total volume of the infusion bag: 2 g lidocaine = 2000 mg lidocaine
If we add 2000 mg of lidocaine to a 500 mL bag of normal saline, the concentration will be: 2000 mg ÷ 500 mL = 4 mg/mL Next, we can calculate the total dose of lidocaine that the patient will receive per minute: 3 mg/min ÷ 4 mg/mL = 0.75 mL/min Finally, we need to convert mL/min to gtts/min using the flow rate of the microdrip administration set. A microdrip set typically delivers 60 drops per milliliter (gtts/mL): 0.75 mL/min × 60 gtts/mL = 45 gtts/min. Therefore, the IV flow rate for the lidocaine infusion should be set to 45 drops per minute.
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Carbohydrates of biological importance to elderly and children
Answer:
They provide energy to the bodies of the elderly and children through particularly glucose
Answer:
Add energy in adults
glucose in children
Explanation:
Your grandmother is in the hospital. The dosages for some of the medications she recelves are based on weight. For one medicine, you consult a resourcit that says the safe dose is 0.05mg to 1mg per kg Your grandmother's chart says the doctor has ordeted 0.5 gram per dose. Has a mistake been made?
Yes, a mistake has been made in the dosage prescribed for your grandmother. The doctor's order of 0.5 grams per dose does not align with the safe dosage range of 0.05mg to 1mg per kilogram of body weight.
Based on the information provided, a mistake has indeed been made regarding the dosage of the medication for your grandmother. The safe dose range for the medication is stated as 0.05mg to 1mg per kilogram of body weight.
However, the doctor's order specifies a fixed dose of 0.5 grams per dose. Grams and milligrams are different units of measurement, where 1 gram is equivalent to 1000 milligrams. Therefore, the prescribed dose of 0.5 grams is equal to 500 milligrams, which exceeds the safe dose range per kilogram of body weight.
By not considering your grandmother's weight and prescribing a fixed dose, the doctor has disregarded the dosage guidelines that are typically based on weight. This oversight could potentially lead to an incorrect dosage being administered, which may result in adverse effects or ineffective treatment.
It is important to address this discrepancy with the medical staff to ensure your grandmother receives the appropriate and safe dosage based on her weight.
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Identify the stressors experienced by refugees both before leaving their country of origin and the stressors experienced here in their new home. Explain how the general adaptation syndrome applies to those experiences.
Answer:
Before leaving : loss of property, loss of means of livelihood/job, extreme fear, Malnutrition due to Famine
In their new home : Torture , robbery and betrayal, and Harsh environmental conditions, loss of family member in transit
Explanation:
The stressors experienced by refugees before leaving their country of Origin can be categorized into ( 2 )( i.e. physiological and psychological ). examples of such stressors are ; loss of property, loss of means of livelihood/job, extreme fear, Malnutrition due to Famine. while some of the stressors that might be experienced by refugees in their new home includes; Torture , robbery and betrayal, and Harsh environmental conditions.
The General adaptation syndrome is a series of reactions ( physiologic ) which causes a change in the equilibrium of a body system ( human ) in response to stressors ( i.e. stressors experienced by the refugees ) as regards the question above. once the stressors is dealt with by the body the equilibrium of the body system is been restored
Treatment of ADHD with drugs such as Ritalin is thought to be effective as it:
a. quiets the voices
b. increases the ability to concentrate
c. interferes with glutamate activity
d. acts as a sedative
Answer:
Option B, increases the ability to concentrate
Explanation:
Methylphenidate, the generic name for Ritalin, is classified as a central nervous system (CNS) stimulant, producing CNS stimulation and respiratory stimulation with weak sympathomimetic (meaning it mimics the effects of certain agonists already present in the body) activity. Doing so increase mental alertness and improves attention span in patients with ADHD, option B.
The answer to the question is option b. The treatment of ADHD with drugs such as Ritalin is thought to be effective as it increases the ability to concentrate.
Attention deficit hyperactivity disorder (ADHD) is a chronic mental health disorder that can cause problems with hyperactivity, impulsivity, and inattention. It is most commonly diagnosed in childhood, but can also occur in adults. Treatment for ADHD typically includes a combination of medication and behavioral therapy. Drugs such as Ritalin are commonly used to treat ADHD and are thought to be effective as they increase the ability to concentrate.
Ritalin is a central nervous system stimulant that works by increasing the levels of certain neurotransmitters in the brain, such as dopamine and norepinephrine. These neurotransmitters are involved in the regulation of attention, focus, and motivation. By increasing their levels, Ritalin can help to improve the symptoms of ADHD and allow individuals to better focus on tasks and activities. The use of Ritalin and other ADHD medications has been shown to be effective in reducing the symptoms of ADHD in many individuals. However,
it is important to note that these medications can have side effects and may not be suitable for everyone. Some common side effects of Ritalin include loss of appetite, trouble sleeping, and irritability. It is important to work with a qualified healthcare provider to determine the most appropriate treatment for ADHD based on individual needs and symptoms.
In conclusion, the treatment of ADHD with drugs such as Ritalin is effective as it increases the ability to concentrate. Ritalin is a central nervous system stimulant that works by increasing the levels of certain neurotransmitters in the brain, such as dopamine and norepinephrine. While these medications can be effective in reducing symptoms of ADHD, they can also have side effects and may not be suitable for everyone. It is important to work with a qualified healthcare provider to determine the most appropriate treatment for ADHD based on individual needs and symptoms.
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15. fritz jk, waddell bs, kitziger kj, peters pc, gladnick bp. is dislocation risk due to posterior pelvic tilt reduced with direct anterior approach total hip arthroplasty? j arthroplasty. 2021;36(11):3692-3696. doi:10.1016/j.arth.2021.07.003
Demonstrate no elevated risk for THA dislocation in patients who underwent a DA approach and had a PSCD 0 mm.
What causes dislocation after hip replacement?Impingement is the most typical dislocation mechanism. A dislocation that shifts the head to the anterior or posterior can be brought on by osteophytes on either the acetabular or femoral side, capsular tissue, or scar tissue. The abductors and adductors exert force on the femur, proximizing it.
The surgeon performs an anterior hip replacement by making a small incision close to the front of the hip to enable the removal of worn-out bone and cartilage and the implantation of an artificial hip without injuring nearby muscles and tendons. Patients are discharged from the hospital earlier than they otherwise might be.
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Randy is a 29 y/o African American male who has a body mass index (BMI) of 30, does not exercise, and has evidence of metabolic syndrome. The first line treatment for Randy’s diagnosis would be:
Answer: The first line treatment for Randy’s diagnosis would be: Insulin
The total water volume of a healthy adult male is approximately 42 liters, or between 50-65% of his body weight. The total water volume of a healthy adult female is approximately 45-60% of her body weight. Generally, this lower percentage in females is due to a higher fat percentage or a larger fat compartment. Which of the following consequences can occur in female patients taking fat-soluble drugs compared to male patients? (Select all that apply.)
1 It will take more time for the drug to leave the fat compartment.
2 More of the drug will move into the fat compartment.
3 The drug will stay in the body for longer.
4 The drug effects will last longer.
Answer:
3.the drug will stay in the body longer
Which type of drug should be taken if a person sprains his or her ankle? anabolic steroids illegal drugs medicine stimulants
Answer:
I think steroids would be the best because drugs could hurt you but steroids are less
Answer:
steroids
Explanation:
Cindy is able to perform more complicated and invasive procedures in her job. She is the direct aid to a famous heart surgeon. Which of the following roles is most likely her job? EKG technician Medical assistant Invasive cardiovascular technologist O none of the above
Answer: Medical Assistant
Explanation:
A Cardiologist is someone who specializes in the study or treatment of heart diseases and heart abnormalities. It says she is "direct aid to a famous heart surgeon." There for it would either be Medical assistant or none of the above.
the nurse-manager has asked an nap for an update on delegated tasks, and the nap has said, "i’m swamped right now." what is the manager’s best response?
The manager's best response in this situation would be understanding and supportive. They could say something like I understand that you're feeling overwhelmed with your workload right now.
The manager's best response in this situation would be understanding and supportive. They could say something like:
"I understand that you're feeling overwhelmed with your workload right now. It's important for us to ensure that tasks are appropriately delegated to maintain efficiency. Let's discuss your current workload and see if there are any tasks we can temporarily reassign or find additional support for. We want to ensure your well-being and the quality of patient care. How can we work together to alleviate some of the pressure?"
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Which of the following is NOT a long-term effect of marijuana use?
A.
Lower learning capabilities
B.
Weaker communication skills
C.
Increased memory
D.
Shorter attention span
Answer:
I think it's increased memory
Answer:
its c. increases memory