Answer:
temporal
Explanation:
it right
A client has been diagnosed with cancer that was a result of dysfunctional apoptosis. The health care provider explains the process to the multidisciplinary client care team. Select the best explanation.
It allows for DNA-damaged cells to survive.
Explanation: Apoptosis is considered a normal cellular response to DNA damage; loss of normal apoptotic pathways may contribute to cancer by enabling DNA-damaged cells to survive.
It allows for DNA-damaged cells to survive.
How does cancer affect apoptosis?Loss of apoptosis control prolongs cancer cell survival and allows for the accumulation of mutations that can promote angiogenesis, promote cell proliferation, disrupt differentiation, and increase invasiveness throughout tumor progression.
How do cancer cells overcome apoptosis?The tumor cells may employ one of several molecular strategies, such as the production of antiapoptotic proteins like Bcl-2 or the downregulation or mutation of proapoptotic proteins like BAX, to suppress apoptosis and develop resistance to apoptotic agents.
What events occur during apoptosis?Blebbing, cell shrinkage, nuclear fragmentation, and DNA fragmentation are all signs that a cell is going through apoptosis. Unlike necrosis, which results in the release of cellular contents, apoptotic cells generate apoptotic bodies that are phagocytized by nearby cells.
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the nurse is providing discharge teaching for a client who recently had surgery for an abdominal perineal resection of the colon and creation of a colostomy. the nurse would instruct the client to notify the health care provider immediately if which condition develops?
if the disorder worsens who recently underwent abdominal perineal resection of the colon surgery had difficulty inserting the irrigation tubing.
What preventative actions should a nurse educate a client who has undergone a subtotal gastrectomy?Generally speaking, altering your diet following surgery can help prevent dumping syndrome. Eating fewer meals and avoiding foods high in sugar are two potential changes. You could require medicine or surgery for more severe cases of dumping syndrome.
When tending to a patient who has undergone abdominal surgery, what should the nurse concentrate on?When looking after a patient who has undergone abdominal surgery, what issue should the nurse concentrate on? recognizing bleeding symptoms. A thoracotomy patient who is postoperative is under the nurse's care.
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Question :-
A nurse is providing discharge teaching for a client who recently had surgery for an abdominal perineal resection of the colon and the creation of a colostomy. Which condition will the nurse share with the client for when to call the healthcare provider immediately?
Intestinal cramps during fluid inflow
Difficulty inserting the irrigation tube
Passage of flatus during expulsion of feces
An inability to complete the procedure in one hour
You are covering a collegiate ice hockey game when your star player is suddenly struck in the head with a puck. The player collapses to the ice and you and your athletic training student slide out to inspect him. The general impression indicates that a young man is lying motionless, apparently unresponsive. You immediately send the athletic training student to call 911
As a reporter covering a collegiate ice hockey game, it is possible to experience sudden incidents. In the event of an emergency like a player being hit in the head with a puck and collapsing, it is crucial to remain calm and take appropriate action. One of the first steps is to inspect the player's condition to determine the extent of the injury and alert the authorities.
In the case of the collapsed player, the first observation is that the young man is lying motionless and unresponsive. This suggests the possibility of a severe head injury. The next step is to immediately send the athletic training student to call 911, who can contact emergency medical services for immediate medical attention. As the reporter, it is essential to keep the audience informed of what is happening while respecting the player's privacy.
In conclusion, when covering events like sports games, reporters must always be ready to respond to any emergency. In the case of a player's injury, it is essential to remain calm and take swift action by inspecting the player, calling 911, and keeping the audience informed. The first priority is to ensure the player receives medical attention as quickly as possible.
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⚠️Take 50 point!!!!please help!!! Q: choose the best correct answer . 1. During the treatment of hyperopia with PRK, the curvature of the anterior corneal surface must A: be flattened. B: remain unchanged. C: be steepened. 2. Er:YAG lasers are not suitable for the treatment of caries because of A: cytotoxicity. B: low efficiency. C: thermal effects. 3. Angioplasty with excimer lasers is likely to induce A: atherosclerosis. B: restenosis. C: thermal injury. 4. In stapedotomy with Er:YAG lasers, the fluence should be limited to A: 1 J/cm2. B: 10 J/cm2. C: 100 J/cm2.
1. A. be flattened
2. C. thermal effect
3. A. atherosclerosis
4. C. 100 J / cm2
During the treatment of hyperopia with PRK, curvature must be flattened. Lasik and PRK both methods are used to treat hyperopia farsightedness. The PRK treatment is mostly common in Europe. The curvature of anterior corneal surface is flattened during the surgery.
Excimer laser angioplasty is a safe technique used for patients who are suffering with atherosclerosis.
The distance of the laser tip to tooth must be kept at least 10 cm to avoid thermal damage to the teeth.
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Case Study 3 – Consent
A 14-year-old youth suffering depression does not want to discuss his problems with his parents. He seeks help from a community health centre. On his first visit he is provided with counselling and asked to return for a second visit where the possibility of medication will be discussed. He is reassured that his parents do not have to be involved if he does not want them to be. Researchers from the centre are looking for people to take part in a study that will find out if a new investigational drug can help in the treatment of depression. They invite the fourteen-year-old to participate in the randomised controlled trial. The researchers say that parental consent is not needed for the 14-year-old to access treatment so they do not need to obtain parental consent for him to participate in the research.
Questions
Is the researcher’s view correct?
Does it depend on the nature of the reasarch?
When caring for a client who uses a protective device (restraint), the nurse aide Should
Answer:
(A) assess the client once every hour.
(B) assure the protective device is tight.
(C) check the client’s body alignment.
(D) release the protective device once a shift.
Explanation:
correct me if I'm wrong have a great day.
The nurse aide should prioritize the client's safety, ensure proper use of the protective device, and monitor the client closely.
When caring for a client who requires a protective device or restraint, the nurse aide's main responsibility is to prioritize the client's safety. This involves ensuring that the protective device is applied correctly and according to the healthcare provider's instructions. The nurse aide should have proper training and knowledge on how to properly use and secure the device to prevent harm to the client.
Additionally, the nurse aide should monitor the client closely and regularly assess their physical and emotional well-being. This includes checking for signs of discomfort, skin integrity, and circulation. The nurse aide should promptly respond to any concerns or changes in the client's condition.
It is crucial for the nurse aide to communicate effectively with the healthcare team, reporting any issues or observations related to the use of the protective device. Collaboration and teamwork are essential in providing appropriate care and ensuring the client's safety and well-being.
Overall, the nurse aide's main focus should be on providing compassionate care, maintaining the client's dignity, and promoting their comfort while adhering to the necessary precautions and guidelines related to the use of protective devices.
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Sarah is a 15 y/o female that presents to your office c/o erythema, xeroderma and pruritus of the epidermal layer of her elbows and knees. Sarah also c/o the patches cracking and bleeding occasionally. Her mother states that she has been having this issue for several months. She remembers Sarah began having issues after she was sick. Sarah has a hx of strep throat this past winter. The patches seem to stay for a few weeks then they get better, but they always come back. Sarah’s mom also states that she has been using antifungal cream on the patches, but nothing seems to make them better. Sarah has NKA and she has not been to see a Dermatologist.
Sarah's signs and symptoms indicate that she may have psoriasis. Psoriasis is a chronic inflammatory skin disorder that is characterized by redness, scaling, and inflammation. It is a skin condition that is known to affect many individuals globally.
Psoriasis is a chronic illness that affects the skin and joints, characterized by red, scaly, and itchy patches. It is a chronic skin disease that may be passed down through families, and it is also related to immune system problems. Psoriasis affects individuals of all ages, including children and adolescents.
Sarah has erythema, xeroderma, and pruritus of the epidermal layer of her elbows and knees. She also has patches that crack and bleed. Psoriasis usually appears on the knees, elbows, and scalp, and it can affect any area of the body. Psoriasis patches may come and go over time, but they usually persist for weeks or months at a time and reoccur.
Antifungal creams, according to Sarah's mother, have not helped to alleviate the condition.A dermatologist should be consulted to identify psoriasis definitively and to decide on an appropriate course of treatment. Doctors prescribe creams and ointments for psoriasis, and, in severe cases, they may prescribe medication.
Phototherapy is another common treatment that involves exposing the skin to ultraviolet light. Dietary and lifestyle changes may also aid in the prevention and treatment of psoriasis. The patient should avoid smoking, alcohol, and stress. They should also consume a healthy diet rich in fruits and vegetables and maintain a healthy weight.
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What role does immunity play when caring for a patient that is experiencing a high amount of stress due to a loss?.
Answer:Stress occurs when life events surpass your abilities to cope. It causes your body to produce greater levels of the stress hormone cortisol.
Explanation: mark me as the brainly-est
when completing the nursing data on a client to complete the admission and develop a plan of care, the nurse will need to:
The process of determining a patient's needs and promoting holistic care is documented in a nursing care plan, usually in accordance with a five-step structure.
Collaboration between nurses, patients, and other healthcare professionals is guaranteed by a care plan. A nursing care plan's objective is to record the patient's needs, preferences, and planned nursing interventions (or implementations) for addressing those needs. Assessment, diagnosis, outcomes and planning, implementation, and evaluation are the five steps that make up a care plan.
Critical thinking abilities and data gathering is needed for the initial stages of designing a care plan. For the assessment step, many healthcare institutions employ a variety of formats.
The North American Nursing Diagnosis Association (NANDA) defines a nursing diagnosis as "a clinical judgment about the human response to health conditions/life processes, or vulnerability for the response, by individual, family, group, or community." You will create a nursing diagnosis using the data that has been gathered.
As you develop goals for the patient to accomplish desired and realistic health outcomes for the short and long term, you will take into account their general state as well as their diagnosis and other pertinent facts.
Once you've determined what you want the patient to accomplish, it's time to put those plans into action.
A health professional (who may be a doctor or nurse) will assess whether the desired outcome has been achieved in the final step of the care plan. Using this knowledge, you will adjust the care plan.
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why shouldn't you use an AED on someone having a heart attack
Answer:
Remember, a heart attack can turn into cardiac arrest if the heart becomes damaged. If the person is not responsive when you yell at him, assume it is CARDIAC ARREST and start CPR.
Explanation:
The AED
could change the heartbeat pattern
I want a pharmacist technician to help me with a question please
Answer:
Send the question, maybe I can help
.Jeff consumed the following foods for a meal: small baked potato, 1 / 2 cup of carrots, 1 cup skim milk, and 1 small banana. Approximately how many grams of carbohydrate did Jeff consume?
a. 47
b. 57
c. 66
d. 69
how many grams of carbohydrate did Jeff consume 47 (option a).
To calculate the approximate number of grams of carbohydrates Jeff consumed, we need to determine the carbohydrate content in each of the foods he ate and then sum them up.
1. Small baked potato: A small baked potato, on average, contains around 30 grams of carbohydrates.
2. 1/2 cup of carrots: Carrots are relatively low in carbohydrates compared to other vegetables. Half a cup of carrots contains approximately 6 grams of carbohydrates.
3. 1 cup skim milk: One cup of skim milk typically contains around 12 grams of carbohydrates.
4. 1 small banana: A small banana contains approximately 14 grams of carbohydrates.
Now, let's add up the carbohydrate content of each item:
30 grams (potato) + 6 grams (carrots) + 12 grams (skim milk) + 14 grams (banana) = 62 grams
Therefore, Jeff consumed approximately 62 grams of carbohydrates. None of the given answer choices exactly match this value, so the closest option is 66 grams (option C), although it is slightly higher.
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Which of the following statements is true? Multiple Choice An undercooked hamburger patty is the most likely source of giardia. In the United States, people rarely suffer from food-borne illnesses. A food's odor or appearance is not a reliable indicator of whether it's safe to eat. The United States Environmental Protection Agency is responsible for inspecting local restaurants and grocery stores to ensure they meet food safety standards.
Answer:
Giardiasis is an intestinal illness caused by infection with the parasite Giardia lamblia, which lives in contaminated water. Although the illness most often occurs in developing countries, giardiasis is also a common cause of waterborne illness in the United States. A person can remain infected with Giardia until the infection is diagnosed and treated. In developing areas of the world, it is common for more than 20% of a country's population to have ongoing Giardia infection. In the United States, only 1 or 2 out of every 10,000 people have Giardia in a typical year, but the infection is found in about 1 out of 3 people who have prolonged diarrhea symptoms if they have recently traveled to a developing country.
Explanation:
A patient has alzheimer's, what does the medical assistant do?o Encourage proper nutrition despite poor appetite. o Assess the patient's level of functioning for safety. o Encourage the use of memory games to support cognitive function. o Assess the patient's gait for safety.
Answer:
MEDICAL ASSISTANCE ARE RESPONSIBLE FOR: helping them obtain relief through respite care services.
Explanation:
B: Assess the patient's level of functioning for safety
Consider a hormone with the half-life of twenty minutes. If secretion were to stop, its concentration would drop by
If the secretion of a hormone with a half-life of twenty minutes were to stop, its concentration would drop by 50% in the next twenty minutes. In other words, the concentration of the hormone will be halved in twenty minutes. After another twenty minutes, the concentration will be halved again, i.e., 25% of the original concentration.
This process continues every twenty minutes until the hormone is no longer present in detectable amounts in the body. A hormone's half-life is defined as the time it takes for half of the hormone in the body to be cleared. Therefore, the shorter the half-life, the faster the hormone is removed from the body.
In addition, the hormone's elimination rate is inversely related to the half-life: the faster the elimination rate, the shorter the half-life.
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The concentration of the hormone would decrease by approximately half every twenty minutes if its secretion were to stop.
1. A hormone with a half-life of twenty minutes means that it takes twenty minutes for half of the hormone to be eliminated from the body.
2. When secretion of the hormone stops, there is no additional supply of the hormone being produced or added to the body.
3. Initially, the concentration of the hormone remains constant because the elimination rate is balanced by the secretion rate.
4. After twenty minutes, half of the hormone present in the body would have been eliminated, and the concentration would have decreased by half.
5. After another twenty minutes (a total of forty minutes since secretion stopped), half of the remaining hormone would be eliminated, resulting in a quarter of the original concentration.
6. This process continues every twenty minutes, with each subsequent interval reducing the concentration by half.
7. The concentration decrease follows an exponential decay pattern, where the amount of hormone remaining is halved every twenty minutes.
8. It is important to note that the actual concentration values may vary depending on individual factors, but the general trend is a continuous decrease by approximately half every twenty minutes.
In summary, if the secretion of a hormone with a half-life of twenty minutes were to stop, its concentration would decrease by approximately half every twenty minutes, following an exponential decay pattern.
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The nurse knows that the second stage of labor, the descent phase, has begun when the:
The nurse knows that the second stage of labor, the descent phase, has begun when the baby's presenting part is visible at the vaginal opening, or vulva. =
The second stage of labor is when the cervix is completely opened (10 cm) and the baby travels down the birth canal. The baby emerges from the vagina and into the external environment during the second stage. The nurse can see that the second stage of labor has begun when the baby's presenting part is visible at the vaginal opening, or vulva.
In order to promote descent during the second stage of labor, the mother will be encouraged to push effectively in response to the urges to push. Additionally, the mother may be asked to alter her position in order to help the baby's descent.
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The patient comes in complaining of syncope. The patient mentions that he has lost a sister earlier to heart disease and he is worried that heart disease runs in the family. The patient is 30 years old and he is tall and skinny.
Thin filaments connect to and extend from either side of a ___________. These thin filaments are composed largely of the myofilament ____________.
Answer:
Z-disc
actin
Explanation:
Thin filaments connect to and extend from either side of a Z-disc. These thin filaments are composed largely of the myofilament actin.
Thin filaments connect to and extend from either side of a sarcomere. These thin filaments are composed largely of the myofilament actin.
In muscle physiology, a sarcomere is the functional unit of a muscle fiber. It is the region between two Z-discs and consists of thick and thin filaments. The thin filaments, primarily composed of actin, extend from the Z-discs towards the center of the sarcomere. The thick filaments, mainly composed of myosin, are located in the center of the sarcomere and overlap with the thin filaments.
During muscle contraction, the thin filaments slide over the thick filaments, resulting in the shortening of the sarcomere and overall muscle contraction. The interaction between actin and myosin is a crucial process in muscle contraction and is responsible for generating force and movement.
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How many people were infected with the coronavirus in 2020?
Answer:
Around 342k cases where know and about 8,124 of dead were inform
What happens if the inline suction device is locked?
a)Nothing: you cannot apply suction
b)Suction will occur continuously until you turn it off
c) Suction will occur
d)It should be locked to clear secretions from the catheter.
If the inline suction device is locked, suction will occur continuously until you turn it off.
This can cause trauma to the patient's airway and damage to the tissue. It is important to make sure that the suction device is not locked, and that suction is applied only as needed and for a short duration to minimize the risk of complications.
The purpose of the inline suction device is to clear secretions from the catheter and the airway, but it should be used with caution and following proper protocols.
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essential nutrients are nutrients that __________.
Answer:
An essential nutrient is a nutrient required for normal body function that either cannot be made by the body or cannot be made in amounts adequate for good health and therefore must be provided by the diet.
Explanation:
Essential nutrients are needed for the functioning of the human body in a correct order
An essential nutrient is the category of nutrients that are necessary for the human body to function that either cannot be produced by our body or cannot be produced in adequate amounts for good health The six essential nutrients are Carbs, Protein, fat, vitamins, water and minerals
Carbohydrates are the main source of fuel for the body where it is broken down to glucose to provide energy. Protein is the building block of the Body. Fats are a stored source of carbohydrates that is twice as powerful as carbohydrates. Vitamins are small molecules that are necessary for our body to function
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Although part of your question is missing. The complete question is:-what are the essential nutrients and uses?
Stage 4 lung cancer life expectancy without treatment.
The main answer to the question of Stage 4 lung cancer life expectancy without treatment is that it is generally quite low. On average, patients may survive for about 2-4 months without any form of treatment.
The explanation for this is that Stage 4 lung cancer is the most advanced stage of the disease, and it typically indicates that cancer has spread to other parts of the body.
Without treatment, the cancer continues to grow and damage essential organs, leading to severe health complications and eventually death.
In summary, Stage 4 lung cancer life expectancy without treatment is generally short, as the disease is advanced and aggressive at this stage. It's essential for patients to seek appropriate medical care and discuss treatment options with their healthcare team to improve their prognosis.
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hormones used for menstrution
Answer:
I don't quite understand what you're asking, but if you're referring to the hormones that regulate menstrual cycles that would be luteinizing hormone, follicle-stimulating hormone, estrogen, and progesterone
Explanation:
Special senses are senses that have a specialized organ associated with them. Do you think we could have more senses?
Answer:
Explanation:
yjjnynh sehrsthr
how would you convince a reluctant healthcare profession to participate in cultural proficiency training?
We can convince a reluctant healthcare professional to participate in cultural proficiency training by:
1. Explain the benefits
2. Provide examples
3. Highlight the importance
4. Address concerns
5. Provide resources
6. Lead by example
Here are some ways you could convince a reluctant healthcare professional to participate in cultural proficiency training:
1) Explain the benefits: One of the best ways to convince someone is to highlight the benefits they will receive from participating in cultural proficiency training. You could explain how the training will improve their ability to provide better care to patients from diverse backgrounds, reduce misunderstandings, improve communication, and increase patient satisfaction.
2) Provide examples: Provide examples of situations where a lack of cultural proficiency has led to negative outcomes. Share stories of patients who have had negative experiences due to a lack of cultural understanding by healthcare professionals.
3) Highlight the importance: Explain the importance of cultural proficiency in today's increasingly diverse society. Remind them that as healthcare professionals, they have a responsibility to provide care to all patients, regardless of their cultural or ethnic background.
4) Address concerns: Address any concerns the healthcare professional may have about the training, such as the time commitment or potential discomfort discussing sensitive topics. Assure them that the training will be conducted in a safe and respectful environment and that their participation will be valued.
5) Provide resources: Provide resources to support their participation in the training, such as educational materials or online resources. Show them that there are a variety of training options available that can be tailored to their specific needs.
6) Lead by example: Finally, lead by example. If you are a healthcare professional, participate in cultural proficiency training yourself and share your positive experience with others. Seeing the benefits firsthand may convince a reluctant colleague to participate as well.
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when assisting a person with their medication, which of the following statements are true. select 2 answers.
When assisting a person with their medication, the following statements are true: Explain to the person or family member what you are going to do and Ask the person to confirm that you have the right medication. Therefore option A and B are correct.
A. Explain to the person or family member what you are going to do: It is important to communicate clearly and inform the person or their family member about the process of administering medication.
This helps establish trust and ensures everyone is aware of the actions being taken.
B. Ask the person to confirm that you have the right medication: Confirming with the person that you have the correct medication is essential to avoid any errors or misunderstandings.
Their confirmation helps verify that the medication being administered is indeed the intended one.
Therefore options A and B are correct.
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Your question is incomplete, but most probably your full question was.
when assisting a person with their medication, which of the following statements are true. select 2 answers.
A. Explain to the person or family member what you are going to do.
B. Ask the person to confirm that you have the right medication.
C. Wait for emergency medical services so they can administer the medication.
D. You may assist with an over the counter (otc) medication, but you may not assist with a prescription medication.
What is another term for myocardial infarction?
An arrhythmia
A heart attack
Varicose veins
Sleep apnea
Another name for a myocardial infarction is a heart attack.
Welcome to week 4!
This week we are learning about motivation! In the health care field, motivation is pivotal to organizational success. Effective leaders know what motivates their subordinates achieve success.
To meet discussion expectations, please complete Steps 1-3 promptly.
Discussion Expectations
Follow the 3-Step Plan and Student Checklist to meet the Discussion Grading Rubric expectations.
Due Wednesday at 11:59 pm EST.
Step 1: Read the Discussion Background:
Ralph has been working in the billing department of the medical plaza for several years. He recently applied to a manager position in his department. Ralph believed he was the most qualified applicant and was surprised when they awarded the position to his co-worker, Gina. Ralph feels that Gina is less qualified than him and incapable of being a good manager. Angry about not earning the promotion, Ralph decides to not cooperate with Gina and make work difficult for her. He wants to show the others that he should have received the promotion over her.
Gina is very happy with her new position and the organizational changes. However, she can tell that Ralph is not very happy with her promotion.
Step 2: Create a new thread and answer all three parts of the initial prompt below:
From Gina’s perspective, what can she do to help Ralph with the change in management?
Imagine you are Ralph’s co-worker. What advice would you give him?
Explain the importance of having a diversity work environment.
It is a incomplete question. The complete question is as follow:
Step 1: Read the Discussion Background:
Ralph has been working in the billing department of the medical plaza for several years. He recently applied to a manager position in his department. Ralph believed he was the most qualified applicant and was surprised when they awarded the position to his co-worker, Gina. Ralph feels that Gina is less qualified than him and incapable of being a good manager. Angry about not earning the promotion, Ralph decides to not cooperate with Gina and make work difficult for her. He wants to show the others that he should have received the promotion over her.
Gina is very happy with her new position and the organizational changes. However, she can tell that Ralph is not very happy with her promotion.
Step 2: Create a new thread and answer all three parts of the initial prompt below:
From Gina’s perspective, what can she do to help Ralph with the change in management?
Imagine you are Ralph’s co-worker. What advice would you give him?
Explain the importance of having a diversity work environment.
Answer:
From Gina’s perspective, she could help to Ralph to understand the need to work together. It is a challenge and represents an opportunity to improve the performance of Ralph.
My advice he needs not to be so self-centered and closed minded for advancing in his work (and life).
A diverse work environment is better to create customized products for customers, which are identified with the ethical values of the company. The companies are better adapted to rapid changes in the needs of customers. Moreover, companies with greater diversity are less likely to suffer judgments because they have higher empathy skills related to social equity, democracy, human rights and antiracism.
Drugs Manufacturing the Naming
Recalling the Naming Process
How is the chemical name of a drug assigned?
a. The name describes the format of the drug, and is assigned by the FDA.
b. The name describes its chemical structure, and is assigned by IUPAC.
c. The name is identified by the drug manufacturer, and is a trade name.
d. The name is identified by the manufacturer and the USAN Counsel.
Answer:
B. The name describes its chemical structure, and is assigned by IUPAC.
Explanation:
I calculated it logically
Answer:
b. the name describes the chemical structure, and is assigned by IUPAC
Explanation:
chemical name of a drug is describing it's chemical structure.
A patient was treated by his primary care physician on 01/25/YY for a wrist fracture that occurred on the job. On 02/02/YY, the patient was evaluated for symptoms of severe high blood pressure and a recheck of the wrist fracture. Where should the provider document treatment from the visit on 02/02/YY?
Answer:
Only the fracture recheck is to be recorded in the workers' compensation record
Explanation:
Workers' compensation records are a type of record that indicates detailed information on an employee's previous compensation claims for injuries on the job. These records incorporate data associated with the type/date of the injury, the organs/tissues/sites of the body that suffered an injury, insurance companies, and impairments and disabilities associated with the injury. It is important to highlight that workers' compensation law varies widely from state to state, thereby disclosure and confidentiality of these records are governed by state statutes.