A client with acute lymphocytic leukemia is receiving vincristine. prior to infusing the drug, the nurse administers diphenhydramine. the nurse should inform the client that the expected outcome of using diphenhydramine in this situation is to:
Answer:
Decrease incidence of a reaction to the vincristine.
Explanation:
Vincristine is a drug for injection that is used to treat individuals with different types of cancer including leukemia, lung and breast cancer. Its action is to interfere with amino acid metabolism and prevent cell division, reducing the likelihood of cancer spreading throughout the body. This medicine can cause unpleasant reactions in the individual and is therefore often used in conjunction with diphenhydramine.
Diphenhydramine is an antihistamine used as a solution for injection for acute symptom control, for uncomplicated allergic conditions when oral therapy of a drug may cause unpleasant patient symptoms such as nausea or severe feeling sick. This medicine is indicated for patients who are unable to tolerate more potent substances of vincristine, as it has the ability to decrease the incidence of a reaction to vincristine.
In an otherwise healthy adult, blood loss would cause:
In order for pests to feel comfortable and survive well in a food facility they need access to _____.
Pests in a food facility need access to food, water, shelter, and space to thrive. Managing these resources and enhancing ecosystem diversity can effectively control pest populations. Understanding pest distribution patterns can inform strategic pest management decisions.
In order for pests to feel comfortable and survive well in a food facility, they need access to several key resources such as food, water, shelter, and sufficient space. Controlling access to these necessities can greatly reduce pest problems. By creating a healthy environment in agricultural settings, one can prevent the introduction and proliferation of pests through methods such as selecting resilient cultivars, removing infested plant debris, and choosing plants that are well-suited for the local conditions. Additionally, it is crucial to maintain a diverse ecosystem with a variety of predators that can naturally manage pest populations.
Landscape diversity plays a significant role in pest control. The presence of multiple enemies of pests increases the complexity of the ecosystem, which in turn enhances the effectiveness of pest-suppressing organisms. Moreover, understanding the distribution patterns of pests can inform growers and researchers about the nutritional requirements and the behavioral traits of pests, which is key for developing strategic pest management practices.
Lara is trying to remember what she had for dinner last friday when her husband took her out to eat. according to the memory-systems perspective, this information is in lara's _____ memory. episodic semantic short-term declarative
A nurse is coaching a woman during the second stage of labor. which action should the nurse encourage the client to do at this time
List 5 responsibilities related to communication that you have to a patient
A patient is given 1 mg of dexamethasone at 11:00 pm; a plasma cortisol level recorded at 8:00 pm the next day is normal. the nurse knows that this is an indication that the patient has what condition?
All beliefs about body shape are unaffected by social influences. Select one: a. True b. False
What are some of the areas that might be limited to patients under an mco?
Final answer:
Patients under an MCO might face limitations like a restricted choice in physicians and medical services, often called denial of care, which impacts access to certain exams, procedures, and prescription drugs. However, studies show that excluded services were typically of marginal value and political pressures may prevent exclusion of certain treatments due to increased government funding.
Explanation:
Under a managed care organization (MCO), several restrictions might limit the healthcare services available to patients. Firstly, MCOs, particularly health maintenance organizations (HMOs), may restrict patient choice in physicians, requiring them to only see doctors that are part of the HMO's approved network. If patients desire to see physicians outside this network, they likely will not be covered by the insurance. Secondly, MCOs often limit the types of medical exams and procedures that patients may undergo, a restriction known as denial of care. This may include limiting access to certain prescription drugs and favoring those that are approved by the HMO, even if another medication might be more effective according to the patient's doctor.
Studies such as those by Professors Jonathan Oberlander, Theodore Marmor, and Lawrence Jacobs have found that while there were concerns about access to certain medical services, in practice, services of marginal value were generally the ones excluded and patients sometimes received these services through other means. For instance, if a treatment for an uncovered illness was needed alongside a covered service, physicians could potentially provide both. Increased state government revenues also played a role in supporting the plans, making it harder politically to exclude treatments from coverage.
Despite the growth of MCOs and their popularity due to lower costs for employers, several issues remain, including the potential for racial/ethnic and gender bias in healthcare delivery, medical fraud, and difficulties in health insurance coverage.
Beth has late-stage terminal cancer. she understands which procedures she is willing to endure and which ones she does not want to undergo. how can beth best communicate her desires to her physician and family?
A nurse is caring for 70-year-old patient who is undergoing anticholinergic drug therapy. the nurse should assess for which condition when caring for this elderly patient?
Statutes are legislation passed by legislative bodies on the _______ levels. A. local B. federal and state C. federal, state, and local D. state and local
Statutes are legislation passed by legislative bodies on the federal, state, and local levels.
Explanation:
The correct answer is C. federal, state, and local.
Statutes are legislation that is passed by legislative bodies on all levels: federal, state, and local. These legislative bodies include the federal government, state legislatures, and city councils.
For example, in the United States, the federal government passes federal statutes, state legislatures pass state statutes, and city councils pass local statutes.
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When you see someone you have a crush on and your heart pounds, your hands get sweaty, and your cheeks feel hot, your ___________ is/are active?
Final answer:
When experiencing strong emotions such as attraction, the sympathetic nervous system and endocrine system are activated, causing physical reactions like a pounding heart and sweating. This is part of the fight-or-flight response, involving both physiological arousal and activation of brain areas related to emotion.
Explanation:
When you see someone you have a crush on and your heart pounds, your hands get sweaty, and your cheeks feel hot, your sympathetic nervous system and endocrine system are active. This response is similar to the fight-or-flight response, a term coined by Walter Cannon, which describes the physiological arousal that occurs in reaction to a perceived threat.
During this response, your body is preparing you to either fight the threat or flee from it, prompting various reactions such as increased heart rate, dilated pupils, and perspiration. This reaction also occurs when you experience strong emotions like fear or attraction, activating areas in your brain associated with rewards and emotions, like the caudate nucleus and ventral tegmental area.
A twenty-one-year-old female presents to your clinic complaining of shortness of breath and a nonproductive nocturnal cough. she states she used to feel this way only with extreme exercise, but lately, she has felt this way continuously. she denies any other upper respiratory symptoms, chest pain, gastrointestinal symptoms, or urinary tract symptoms. her past medical history is significant only for seasonal allergies, for which she takes a nasal steroid spray but is otherwise on no other medications. she has had no surgeries. her mother has allergies and eczema, and her father has high blood pressure. she is the only child. she denies smoking and illegal drug use but drinks three to four alcoholic beverages per weekend. on examination, she is in no acute distress and her vital signs are: t 98.6, bp 120/80, pulse 80, and respirations 20. her head, eyes, ears, nose, and throat examinations are essentially normal. inspection of her anterior and posterior chest shows no abnormalities. on auscultation of her chest, there is decreased air movement and high-pitched whistling on expiration in all lobes. percussion reveals resonant lungs. what is your diagnosis?
When faced with the victim you suspect has suffered an internal injury, one of the steps you should take
A 15-year-old female is diagnosed with prader-willi syndrome. this condition is an example of:
Mrs. anderson presents with an itchy rash which is raised and appears and disappears in various locations. each lesion lasts for many minutes. what most likely accounts for this rash?
Intuition might tell us that rough surfaces on clothing would inhibit the speed of an Olympic athlete. Why is this line of thinking not true in some cases? How can controlled roughness actually promote speed? Write a paragraph that is about 100 words long.
People might think that clothing with rough surfaces slows down movement because the rough parts trap air. That's not always the case. By controlling the amount of roughness, it’s possible to allow air to pass more easily over the fabric. The shape of a golf ball is based on this idea: the dimples on its surface make the air spin in small circles, like mini vortexes. These spinning circles of air act like ball bearings in a machine. The overall effect is that the ball can move more easily through the air, so it flies a greater distance. In the same way, the grooves on athletes' clothing also allow smoother movement through the air.
A document that states one does not want medical intervention to be kept alive if the quality of life is not good or hope for recovery is dismal is called:
Which of these boundaries would you most likely to establish with your siblings.
A) No compliments
B) No conversation
C) No physical abuse
D) No laughing
Now that you have reviewed normal blood flow, why does a patient with left-sided heart failure have a low systolic blood pressure?
The heart's pumping action moves oxygen-rich blood as it travels from the lungs to the left atrium, then on to the left ventricle, which pumps it to the rest of the body. The left ventricle supplies most of the heart's pumping power, so it's larger than the other chambers and essential for normal function. In left-sided or left ventricular (LV) heart failure, the left side of the heart must work harder to pump the same amount of blood.
Which of the "Four D's of Negligence" refers to the physician-client relationship
During the first hour after a precipitous birth, the nurse should monitor a multiparous client for signs and symptoms of which complication?
Clara is depressed after losing her job. she has been complaining of a severe backache that is affecting her daily life. however, her physician has examined her and found that there is no medical cause for her condition. according to the symptoms displayed by clara, she is most likely to be suffering from:
Answer:
somatic symptom disorder
Explanation:
Somatic Symptom Disorder is a group of psychiatric disorders characterized by physical symptoms that suggest, but are not fully explained by, a physical disorder, and cause significant discomfort or interfere with social, occupational, or other functions. In this type of disorder the physical symptoms or their severity and duration cannot be explained by an underlying physical condition.
That is, the patient feels the discomfort of a certain physical condition, such as Clara who has a severe back pain, however the doctor does not find a physical cause for these symptoms.
Why should
you practice good sleep hygiene
Which one of the following food contaminations would be suspect do if the end of a can of tomatoes had begun to swell
Using carbo-loading to increase the store of glycogen seems to benefit only those athletes who engage in aerobic activities that are?
Answer:
This can benefit athletes who perform aerobic activities lasting longer than 90 minutes.
Explanation:
Glycogen is a homopolysaccharide, which means that its molecule is composed of monomers of the same monosaccharide, in this case glucose. It is the main carbohydrate for energy storage in animal cells. In other words, we can say that glycogen is the way glucose is stored in the body for future energy needs.
Many athletes may be influenced to use a carbohydrate load to increase glycogen stores in the body. However, this extra glycogen reserve will only benefit athletes who perform aerobic activities lasting longer than 90 minutes, due to the extra energy expenditure that these activities impose.
A person who uses sunscreen prior to going out in the sun would be said to be exercising
A person who feels deep within themselves, usually from early childhood, that they are of the opposite gender is given the diagnosis of
used to direct the coder to the correct codes and the sequence of codes for conditions that may be preset with each other
WITH used to direct the coder to the correct codes and the sequence of codes for conditions that may be preset with each other. WITH may be used by the physician to acknowledge two conditions exist but the physician may also use other phrases such as associated with or due to and the ICD-10-CM phrase of WITH also applies in the alphabetic index or in the tabular list in an instructional note. Alphabetic index is the term WITH will appear immediately following the main term. Tabular list is the term WITH appearing in a code title means that two conditions must be present in the patient to use that particular code.