The nurse is assessing a patient with sickle cell anemia admitted several days ago with vaso-occlusive pain crisis. Which of the following findings would indicate that the patient is experiencing splenic sequestration crisis? (Select all that apply.)
a) Assess pain frequently and administer meds routinely
b) Restrict oral fluid intake to decrease stress on the kidneys during crisis
c) Encourage pt to visit with other children in the playroom
d) Administer O2 if saturations are <92% to promote adequate oxygenation
e) Administer hypotonic fluid IV to promote hemodilution
Answers
Splenic sequestration crisis is a life-threatening complication of sickle cell anemia in which blood becomes trapped in the spleen, leading to splenic enlargement, decreased circulating blood volume, and potentially life-threatening anemia.
The correct answers are: a) Assess pain frequently and administer meds routinely d) Administer O2 if saturations are <92% to promote adequate oxygenation
To manage a patient experiencing splenic sequestration crisis, the nurse should assess pain frequently and administer pain medications routinely to help manage the pain associated with the crisis (option a). Additionally, if the patient's oxygen saturation falls below 92%, administration of oxygen (option d) may be necessary to promote adequate oxygenation and prevent hypoxia.
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Sickle cell anemia is a genetic disorder that affects the shape of red blood cells. One of the most common complications of this condition is vaso-occlusive pain crisis, which occurs when the sickle cells block the flow of blood to various organs and tissues. The correct answer is A, D, and E.
However, another potential complication is splenic sequestration crisis, which occurs when the sickle cells become trapped in the spleen, causing it to enlarge and leading to a rapid drop in hemoglobin levels.To determine whether a patient with sickle cell anemia is experiencing a splenic sequestration crisis, the nurse should look for certain signs and symptoms. Some of the key indicators include abdominal pain and distension, along with a rapid heart rate, low blood pressure, and signs of shock. The patient may also appear pale or jaundiced, and may experience difficulty breathing or increased fatigue.In terms of nursing interventions, the focus should be on promoting hemodynamic stability and preventing further complications. This may involve administering oxygen therapy to promote adequate oxygenation, along with intravenous fluids to help promote hemodilution and improve blood flow. Pain management should also be a priority, with medications administered frequently to help control the patient's discomfort.
However, it is important to note that some interventions may be contraindicated during a splenic sequestration crisis. For example, restricting oral fluid intake may worsen dehydration and hypovolemia, and may put additional stress on the kidneys. Instead, the patient should be encouraged to drink plenty of fluids to help maintain hydration and prevent further complications. Additionally, any activities that may increase the risk of bleeding or further organ damage should be avoided, and the patient should be closely monitored for signs of worsening symptoms or complications. The correct answer is A, D, and E.
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Related Questions
fitness and getting people motivated to get fit! For this activity, you will be designing a creative advertisement (or poster) that clearly shows how important physical fitness is and the benefits of getting physically fit. Pretend that your poster will be displayed throughout middle schools nationwide. Keep in mind that your audience for this creative advertisement will be middle school students so you want to make sure your poster is appropriate for kids your age. Think about what you would like to see on a poster that would make you excited about exercise! You will want to use images and words that will reach and appeal to the specifio age group of middle schoolers Your poster can be done on an actual poster-board and photographed for submittal. Or you may choose to design one to three slides that could (hypothetically be printed out to display your creative and motivational poster! Your poster advertisement must include: a catchy title three different benefits of getting n shape and a brief explanation of each three examples of activities to improve anaerobic fitness and a brief description or illustration three examples of activities to improve aerobic fitness and a brief description or ilustration three tlps for getting physical y fit and a onet explaration of each a mnmum of three Images either hand drawn found onine, or from magazines
need help
Answers
Answer:
Explanation:
A homogeneous sample of 22 participants was selected for this study. The criterion-based sampling technique was used to identify and select the participants. We first contacted the gym owners/trainers and sought their consent to help us in the conduction of this study. Upon consent, we requested them to provide us with the details of their regular gym members who continuously go to the gym and do fitness exercises for at least 6 months prior to the imposed Once the list was generated, the prospective participants were then connected by phone, were explained the purpose of the study, and were requested for their consent to participate. Those who consented for their inclusion in the study were then asked some questions based on the-decided inclusion and exclusion criteria for the study. On the basis of this information, those participants who met the inclusion criteria (i.e., those who were continuing fitness workout in their home or hostels and were following strict home confinement measures during the pandemic and subsequent were further contacted and requested to provide an appointment for a telephone interview.
What is an example of an influence on one’s sense of self? A. social status B.social environment C. intelligence D. physical appearance
Answers
Answer:
idk honestly but i think its D.
Explanation:
Answer:
The actual answer is A- social status
Explanation:
because it said it was the right answer.
Match the following.
1. exercise that requires the use of oxygen to produce energy
adenosine triphosphate
2. exercise that does not require the use of oxygen to metabolize energy
anaerobic
3. amount of time needed to perform an exercise
aerobic
4. a product of anaerobic exercise
lactic acid
5. how often an exercise is performed
intensity
6. an energy molecule produced when oxygen reacts with glucose
mode
7. type of exercise
frequency
8. level of effort needed to perform an exercise
duration
Answers
The correct match are as follows
aerobic: exercise that requires the use of oxygen to produce energy
anaerobic :exercise that does not require the use of oxygen to metabolize energy
duration: amount of time needed to perform an exercise
lactic acid: a product of anaerobic exercise
frequency: how often an exercise is performed
intensity: an energy molecule produced when oxygen reacts with glucose
adenosine triphosphate: type of exercise
mode: level of effort needed to perform an exercise
What is exercise about?Exercise is a type of physical activity that improves or maintains overall health and wellness as well as physical fitness.
Hence, it is done for a variety of objectives, such to promote strength and growth, build muscles and the cardiovascular system, refine athletic abilities, lose or maintain weight, enhance health, or just for fun.
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HELP ME ASAP!!!
How can adults integrate learning activities into play for children?
Answers
Answer:
the can Do card games and have a prize. they can also have abc mouse because say that is fun.
Explanation:
According to Michael Pollan, what single change can have the greatest positive impact on our health? O Reducing caloric intake to the recommended amount for each age, gender, and activity level. Stress reduction. O Cooking at home. Reducing intake of free sugars to no more than 6 tsp. per day for women and 10 tsp. for men.
Answers
Answer:
I am pretty sure cooking from home
Explanation:
but it would depend what do you cook from home
What are the parts of the Immune System?
Answers
Answer:
white blood cells, antibodies, the complement system, the lymphatic system, the spleen, the thymus, and the bone marrow.
Explanation:
Name the structure that produces a thin milky fluid that aids in sperm motility
Answers
Urethera is that structure that produces a thin milky fluid that aids in sperm motility.
What is sperm?
Sperm cells are male reproductive cells that originate in the testicles. Sperm cells swim to and fertilize a female reproductive cell called an oocyte.
Numerous short ducts from the substance of the prostate gland empty into the prostatic urethra. The secretions of the prostate are thin, milky colored, and alkaline. They function to enhance the motility of the sperm.
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Scenario 1: Needing an Organ
Jerome is a wealthy father of four young children who works as a pediatrician at the local clinic. He falls seriously ill, and
while in the hospital he is told that unless he receives a new kidney within the next few weeks, he will likely die. His
entire family is tested to see if they can donate a kidney, but no one is a good match. Jerome is placed on the kidney
transplant list. But time is running out, and there isn’t a good chance that he will get the kidney he needs since there are
so many people in his situation who need kidneys, too.
Jerome’s wife, Marilyn, desperate to save her husband’s life, learns that there are other ways to get a matching kidney.
She can offer a small amount of money to people in certain poor countries who are willing to take a test to see if they
are a match for Jerome. Once Marilyn finds a match, she can pay that person to donate a kidney. A person can live
normally with just one kidney. Jerome’s family can offer enough money to give a donor a comfortable life in his home
country. The surgery to remove a healthy kidney for donation is painful and sometimes recovery is difficult. what is the ethical thing to do?
Answers
Jerome can be given regular hemodialysis which will keep the blood free of toxins and it is also an ethical way to help treat the kidney failure patient. As organ transplant is not an ethical thing to do.
What is dialysis?Organ transplant can lead to the development of a society where only the rich would be able to access life by saving through organ transplants and the poor would be the contributors of those organs being transplanted.
In renal disease, the patient needs dialysis or a kidney transplant to stay alive. Hemodialysis or dialysis is where the toxins in the blood are removed directly from the bloodstream of patient. Peritoneal dialysis is where the toxins in the blood are removed through the lining of the abdomen. This is an effective and ethical thing to do with the patient of kidney failure.
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Skiing dangerously out of control is known as.
A.grooving the snow
B.angulation
C.edging the snow
D.schuss boom
Answers
Answer:
D
Explanation:
Answer:
D
Explanation:I am learning and I just took the quiz
The adrenal gland as a whole functions to respond to:
blood sugar levels.
digestion.
oxygenation levels.
stress.
Answers
Answer:
The adrenal gland as a whole functions to respond to stress.
Being able to do more than 12 bicep curls will help improve Muscular endurance.
True
False
Answers
Answer:
True
Explanation:
Doing any exercise for a prolonged amount of time will increase your muscle endurance for the muscles involved in the exercise movement. You will also gain strength but the main thing that will develop with more repetitions will be endurance. If we were to build strength we would decrease the number of repetitions and increase the weight for the bicep curls.
Answer:
True
Explanation:
"Muscular Endurance" refers to the ability to endure or sustain repetitive contractions of the muscles in a span of time. This means that the more repetitions you do, the higher your muscular endurance.
The situation above helps you improve your muscular endurance because you are doing more repetitions of bicep curls (a single exercise) that will increase the time needed to sustain such exercise. This means that if you keep on doing this, your ability to do many bicep curls repetition in the future will most likely increase. Loading will largely depend on the progress that each person has. It should be done at a moderate pace.
the cognitive aspect of cognitive-behavioral therapy is mainly concerned with a person's
Answers
Answer:
It is mostly concerned with a persons thoughts
Explanation:
Answer:
Thoughts
Explanation:
Its a pattern of group behavior that last for along period of time
Answers
Answer:opo
Explanation:
the opo has a rise of eflectionr
You have decided that you would like to get involved in student or community government. You have been researching leadership qualities and looking at yourself to see which qualities you possess, and which qualities you should work on. Describe a couple of leadership qualities that you have and a couple of leadership qualities that you would like to work on.
Answers
Leaders have big visions and highly influential personalities. He possesses integrity and active listening but he needs to work on communication and confidence.
Some of the Qualities of a Great Leader:
Integrity: Great Leaders Never Compromise Their PrinciplesHonesty: Good leaders must be honest with their team and with themselves.Active Listening: Good leaders genuinely listen to others.Confidence: Great leaders always believe they can make a difference.Strong Communication: Good leaders choose their words well and encourage others to share their thoughts.A person must be confident enough to make sure others follow him. A manager must be confident in his decisions and actions. A good leader must certainly inspire others. Chairs to set up empty trash bins Reading and singing at special ceremonies Helping with school gardening Bringing items to charity Volunteering for his charity.
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Synaptic communication between two neurons usually occurs via a. electrical signaling b molecular transduction c. chemical messengers d direct contact
Answers
Synaptic communication between two neurons usually occurs via a. electrical signaling
Our neurons communicate with each other for numerous purposes such as to carry out movements, locomotion, perform reflex actions, direct different organs to start or stop performing certain actions and much more.
Based on this, the synaptic communication forms the path for signal transduction. The signal transduction in neurons occurs through electrical potential. Normal neuron has -70mV charge. It changes on firing of action potential which involves three stages: depolarisation, repolarisation and hyperpolarisation.
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Rina and the other students are learning about the science of exfoliation for rexample the rate of cell mitosos and migrattion from the dermis to the top of the epidermis is called the cell_____factor.
Answers
Rina and the other students are learning about the science of exfoliation for example the rate of cell mitosis and migration from the dermis to the top of the epidermis is called the cell renewal factor.
Our Cell Renewal Factor (CRF), also known as cell turnover rate, goes down as we age. The process of cell turnover is how our skin creates fresh skin cells that move up the epidermis from the base to the top before being shed. This prevents a buildup of dead cells on the skin's surface.The cell ascends through the epidermis until it reaches the stratum corneum, the top layer of skin. A "dead" skin cell is one that is tough, dry, and flaky once it reaches this layer. The skin should ideally continue to produce new skin cells, which push older cells out from beneath. Throughout the body, this desquamation process takes place.
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Question 21
Marks: 1
Well-placed, existing solid waste collection areas are good choices for household hazardous waste collection sites.
Choose one answer.
a. True
b. False
Answers
The answer is true. Well-placed, existing solid waste collection areas can serve as good locations for household hazardous waste collection sites.
This is because such locations are often already equipped with the necessary infrastructure and resources to handle hazardous waste, such as containment areas, trained personnel, and appropriate equipment. Additionally, using existing sites can save money and resources compared to establishing new sites. However, it is important to ensure that these sites are properly managed and monitored to prevent any potential risks or hazards associated with hazardous waste. Overall, utilizing well-placed solid waste collection areas can be an effective strategy for managing household hazardous waste. Well-placed, existing solid waste collection areas can serve as good locations for household hazardous waste collection sites.
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How can you use the FITT principle in maintaining your heart related fitness?
Answers
The FITT principle stands for Frequency, Intensity, Time, and Type. To maintain heart related fitness, you can use the FITT principle by exercising regularly at a moderate intensity for at least 30 minutes, 3-5 times a week. You can also vary the type of exercise you do, such as running, swimming, biking, or walking
FITT can actually help you push your physical boundaries just far enough to make development without endangering your health when used properly. It lowers your risk of getting diseases like obesity.
What does it imply when people say that the FITT principle helps us keep a healthy body?To help participants understand how long and how hard they should exercise, the FITT principles serve as a prescription for certain exercises. Frequency, Intensity, Time, and Type are all abbreviated as FITT.
Why is it crucial to start an exercise with the FITT concept in mind?You can increase fitness and lower the chance of overtraining by adjusting how frequently, how hard, what exercises you do, and for how long you exercise.
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The ___ is a digital version of a patient's paper chart at a doctor's office, while a ___ contains all information from all the doctors involved in the patient's care
A.EHR, EMR
B. EMR; EHR
Answers
Answer:
The answer is A.
Explanation:
AN EHR is an electronic Health record. An EMR is an Electronic Medical Record which contains past medical records , vital signs etc.
Which is one characteristic that distinguishes flirting from sexual harassment?
Answers
Answer:
Flirting includes just verbal activity of commenting. When the girl is against it the male usually comments on the physical appearance (like on road sides). When the girl is okay with it they flirt with one another.
Sexual harassment is a brutal physical torture where the girl is raped (obviously against her wish). Mostly in flirting there is no physical harassment but sexual harassment included making her do things completely against her wish.
(viewers this is an academic answer. Please don't report it as adult content)
How quickly a drug enters your bloodstream also depends on_______
A. The amount of food eaten
B. The active ingredients in the drug
C. The time of day the drug was taken
D. Inhaling
Answers
Answer: The amount of food eaten.
Explanation: Drug absorption is the process by which a drug enters the bloodstream after administration. The rate and extent of drug absorption depend on various factors, such as the physicochemical properties of the drug, the formulation, and the route of administration.
One of the factors that can affect drug absorption is the amount of food eaten before or after taking a drug. Food can influence drug absorption by altering gastric emptying, gastrointestinal motility, pH, bile secretion, and blood flow. Food can also interact with drugs directly or indirectly by affecting their solubility, stability, or metabolism.
The effect of food on drug absorption can be either positive or negative, depending on the drug and the type of food. For example, some drugs are better absorbed when taken with a high-fat meal, such as griseofulvin, saquinavir, and cyclosporine. Other drugs are better absorbed when taken on an empty stomach, such as penicillin, tetracycline, and levodopa. Some drugs have variable absorption depending on the type of food, such as warfarin, which can be affected by vitamin K-rich foods.
Therefore, the amount of food eaten can affect how quickly a drug enters the bloodstream and how much of it reaches the systemic circulation. This can have implications for the efficacy and safety of drug therapy. It is important to follow the instructions on how to take a drug with respect to food intake to optimize its absorption and avoid adverse effects.
Hope this helps, and have a great day! =)
What research on intact brain patients resulted in the understanding of the relative speeds of verbal and virtual-spatial processing in the two hemispheres?
A. hemisphere specialization
B. brain plasticity
C. hemisphere communication
D. brain neurogenesis
Answers
Answer: A. Hemisphere specialization
Explanation:
Correct on edge
The research on intact brain patients that resulted in the understanding of the relative speeds of verbal and virtual-spatial processing in the two hemispheres is
A. hemisphere specializationResearchers found out that the different speeds of two hemispheres in the brain caused a split between the hemispheres.As a result of this, there was a specialization between the hemispheres with each part performing a different function in the brain.Therefore, the correct answer is option A
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In 50 words or fewer, describe how the media might influence a
person's body image.
Type answer here...
SUBMIT
mplete the questions on your study guide as you work through this activity
Answers
What is the target heart rate? How do you calculate it?
Answers
Answer:
To estimate your maximum age-related heart rate, subtract your age from 220. For example, for a 50-year-old person, the estimated maximum age-related heart rate would be calculated as 220 – 50 years = 170 beats per minute (bpm).
what causes cancer?
its a 10 letter word
Answers
Answer:
carcinogen
Explanation:
Hope this helped. I love MHA btw and your Bakugo pfp.
Answer:
my mom says Nugenix causes cancer
Explanation:
Whats the best method to provide long-term periods of assistance to a cow that has nerve damage that results in recumbency slings?
Answers
Mechanically raising the cow, such as with a sling, can help with treatment and diagnosis. If the cow has nerve damage, hobbling can help the cow get more support. When the initial cause is resolved but the cow still does not rise, the cow becomes a downer cow. As a result of muscle and nerve damage, this failure to rise is usually observed within 24 hours of the cow falling off her feet.
This nerve damage occurs because a cow falling off its feet puts a lot of pressure on its muscles and nerves, which is exacerbated in many diseases by the cow's inability to shift position to avoid continuous weight bearing.
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Identify necessary and sufficient conditions for them.
1. Becoming President of the USA.
2. Being medically obese.
3. A song is classic rock.
Answers
For Winning the presidential election. one must not only fulfill the necessary conditions but also win the majority of electoral votes in a presidential election. Necessary condition for Having a body mass index (BMI) equal to or exceeding a certain threshold designated by medical professionals. Necessary condition Belonging to the genre of rock music.
1. Becoming President of the USA: Being a natural-born citizen of the United States. This requirement is stated in the U.S. Constitution (Article II, Section 1) and must be met to be eligible for the presidency.
2. Being medically obese: Having a body mass index (BMI) that meets the criteria for obesity. The specific BMI threshold may vary depending on the classification system used, but it generally falls above a certain value (e.g., BMI greater than or equal to 30).
3. A song is classic rock: The song must have the characteristic elements and sound associated with classic rock, such as guitar-driven instrumentation, prominent rhythms, melodic hooks, and lyrical themes commonly found in classic rock songs.
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What causes temporal pallor of the optic disc?
Answers
Answer:
Temporal pallor results due to involvement of the papillomacular bundle and commonly seen in toxic, nutritional optic neuropathy. NAION initially presents with disc swelling followed by sectoral disc pallor.
Temporal pallor of the optic disc is caused by a decrease in the number of nerve fibbers present at the back of the eye. It is commonly associated with glaucoma and other optic neuropathies.
Temporal pallor usually results due to involvement of the papillomacular bundle and they are commonly seen in toxic, nutritional optic neuropathy. NAION are initially presents with disc swelling followed by sectoral disc pallor.
Temporal pallor is the optic nerve is basically a diseases that damage optic nerve fibers may actually result in temporal pallor of the optic nerve. Note here that the normal nerve color present only on the nasal aspect of the disc.
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What is the definition of a standard drink for beer?
Answers
Answer: Definition of a standard drink in the US. 14 grams of pure alcohol in any drink or 0.6 fluid ounce (that is 18 grams). The amount of alcohol in any drink is important. Standard drink - Regular Beer. 5% , 350 ml.
Select a vitamin or mineral and address the associated question(s). AVOID DUPLICATES--scan your peers' posts before making your selection. To that end, be sure to label your subject heading with the selected vitamin/mineral. Imagine you are attending your yearly health risk assessment. When you came to the appointment, you thought you had a proper diet and were of average health. It turns out, that the doctor that examines you has a special interest in nutrition. She notices some inconsistencies with what you discuss with her and suggests that you may have a deficiency or toxicity of your selected vitamin or mineral. Your post should include the following information: Based upon the vitamin or mineral that you have chosen, what were your doctor's observations and diagnosis? Do you have toxicity or deficiency? Explain any disorders associated with the deficiency or toxicity. Briefly describe what your recommended daily allowance based upon your profile (sex, age, physical status, etc.) should be, your present intake estimate, and your action plan (adjustment in diet, etc.). If left untreated, what might be some of the more serious long term and detrimental effects this might have on your body? Which special populations (pregnant women, children, etc.) are most affected and why? What other prevention, treatment, and safety measures might be beneficial to regulate your health?
Answers
The doctor's observations indicate a potential deficiency of Vitamin D based on inconsistencies discussed during the health risk assessment. After further evaluation, a diagnosis of Vitamin D deficiency is made. The deficiency may be attributed to inadequate sun exposure, limited dietary intake, or other factors affecting the absorption and synthesis of Vitamin D in the body.
The recommended daily allowance for Vitamin D varies based on age, sex, and physical status. The doctor assesses your profile and determines the appropriate daily intake requirement. Your present intake estimate suggests that your dietary sources may not provide sufficient Vitamin D. The action plan involves adjusting your diet to include foods rich in Vitamin D, such as fatty fish, fortified dairy products, and fortified cereals. Additionally, the doctor may recommend appropriate sun exposure or Vitamin D supplementation to meet the daily requirement.
Untreated Vitamin D deficiency can lead to several disorders, including rickets in children and osteomalacia in adults. In the long term, it may contribute to weakened bones, increased risk of fractures, and compromised immune function. Special populations, such as pregnant women and elderly individuals, are particularly susceptible to Vitamin D deficiency due to increased physiological demands or limited sun exposure.
To regulate your health, it is important to follow prevention, treatment, and safety measures. These include regular monitoring of Vitamin D levels, maintaining a balanced diet, getting adequate sunlight exposure, and considering supplementation if necessary. The doctor may also advise lifestyle modifications, such as increased physical activity and weight-bearing exercises, to promote bone health and overall well-being.
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