Uncontrolled diabetes during pregnancy is most likely linked to the complication of gestational macrosomia.
Gestational macrosomia refers to a condition where a baby grows excessively large during pregnancy, typically weighing over 4,000 grams (8 pounds, 13 ounces) or more. Uncontrolled diabetes, particularly gestational diabetes or pre-existing diabetes that is poorly managed during pregnancy, can contribute to high blood sugar levels in the mother. This, in turn, can lead to increased fetal growth and macrosomia. The excess glucose crosses the placenta, prompting the baby's pancreas to produce more insulin. This can result in increased fat deposition and overall growth of the baby, which may pose challenges during delivery and increase the risk of birth injuries. It is essential for pregnant individuals with diabetes to carefully manage their blood sugar levels through diet, exercise, medication (if necessary), and close monitoring to minimize the risk of complications such as gestational macrosomia.
Uncontrolled diabetes during pregnancy, whether it is gestational diabetes or pre-existing diabetes, can lead to gestational macrosomia, which is excessive fetal growth. High blood sugar levels in the mother can result in increased insulin production in the baby, leading to larger size and weight. This can pose delivery difficulties and increase the risk of birth injuries. Proper management of blood sugar levels is crucial to mitigate this complication.
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How do you respond to a health care workers statement that sharp injuries are only caused by needle stick injuries
I will explain to the health care worker that it could also be caused by other sharp medical equipment.
What are sharp injuries?The term sharp injuries refers to any kind of injury that is caused by a needle, a blade or any other kind of medical instrument which has the ability to enter into the skin. This is common in the hospitals.
If a health worker says that sharp injuries are only caused by needle stick injuries, I will explain to the health care worker that it could also be caused by other sharp medical equipment.
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Standards of Conduct are the same for every Medicare Parts C and D sponsor. a. True b. False
Standards of Conduct are the same for every Medicare Parts C and D sponsor.
The claim is false.
What is Medicare mean?
Initiated in 1965 by the Social Security Administration and currently run by the Centers for Medicare and Medicaid Services, Medicare is a government-sponsored universal health insurance program in the United States.
There are four parts of Medicare:
In general, Medicare's many components provide coverage for particular treatments. The majority of beneficiaries select Original Medicare, the time-honored fee-for-service program provided directly by the federal government, to obtain their Part A and B benefits. Medicare is also referred to as traditional or fee-for-service (FFS) Medicare.
Part A provides inpatient/hospital coverage.Part B provides outpatient/medical coverage.Part C offers an alternate way to receive your Medicare benefits.Part D provides prescription drug coverage.Standards of Conduct are the same for every Medicare Parts C and D sponsor.
The claim is false.
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Which of the following would a home inspector note as a defect in a report due to its link to lung cancer
The situations that an inspector would note as a defect due to its link to lung cancer are missing here, but they may be associated with industrialized areas.
What is lung cancer?Lung cancer is a very serious disease characterized by the uncontrolled growth of lung cells (e.g., epithelial cells).
Lung cancer is generally triggered by environmental factors such as excessive smoking and this disease may also be associated with industrialized areas where chemical substances are released to the surrounding environment.
In conclusion, the situations that an inspector would note as a defect due to its link to lung cancer may be associated with industrialized areas.
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When dental images are properly prescribed, exposed, and processed, the benefit of disease detection ____________ the risk of small doses of x-radiation.
When dental images are properly prescribed, exposed, and processed, the benefit of disease detection outweighs the risk of small doses of x-radiation.
In dental procedures, an X-ray image is required of the tooth. It enables the dentist to study the tooth and its root to perform a diagnosis. Such a process is performed to study the root, jaw replacement, and bone composition of the face. Thus, X-ray dental images help to treat dental issues before their advancement.
The small hidden decays underneath the fillings or between teeth, gum cysts, or infections can be studied using dental radiographs. Dental images allow minimal exposure to the x-radiation and are therefore considered to be safe.
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The primary function of the nephron loop is to generate a medullary ecf osmotic gradient that allows for what?.
The primary function of the nephron loop is to generate a medullary ecf osmotic gradient that allows reabsorption of water and sodium chloride from the filtrate.
What is a nephron loop?
Nephron loop is also known as Henle loop.
The descending limb and ascending limb of the nephron loop are U-shaped tubes with different permeabilities.
Normally, the collecting duct and distal convoluted tubule are impervious to water, but hormone stimulation during homeostasis changes this.
nephron is present in U-shape and extends through the medulla of the kidney
Functions of nephron loop:
Its major function is to reabsorb sodium chloride and water from the filtrate.
By conserving water, the organism can produce urine that is extremely concentrated.
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identify the locations for the ecg electrodes on the chest. prepare the skin. if the patient has a hairy chest, get the person's permission prior to shaving the areas (optional). Wipe each spot with alcohol and allow it to dry. fold the gauze pad over your index finger and briskly rub the site to abrade the skin.
The locations for the ECG electrodes on the chest are
V1: 4th intercostal space (ICS), RIGHT margin of the sternum
V2: 4th ICS along the LEFT margin of the sternum
V4: 5th ICS, mid-clavicular line
V3: midway between V2 and V4
V5: 5th ICS, anterior axillary line (same level as V4)
V6: 5th ICS, mid-axillary line (same level as V4)
ECG electrodesOne of the easiest and quickest tests to assess the heart is an electrocardiogram (ECG). On the arms, legs, and certain locations on the chest, electrodes are positioned. Lead wires are used to connect the electrodes to an ECG device. The heart's electrical activity is then recorded, deciphered, and printed out. In order to maintain proper blood flow, the heart's many muscle contractions are coordinated by natural electrical impulses. These electrical impulses are captured by an ECG to display the heart's rate, rhythm, and strength and timing as they pass through the various heart chambers. Numerous heart-related disorders might show up as changes in an ECG.
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The nurse is caring for a postrenal transplantation client taking cyclosporine. The nurse notes an increase in one of the client's vital signs, and the client is complaining of a headache. What vital sign is most likely increased
Blood pressure vital sign is most likely increased.
What is blood pressure?Blood pressure is a measurement of the force of the blood against the artery walls. With each beating, the heart pumps blood into the arteries.If heart is beating and pumping blood, your blood pressure will be at its highest.A diet heavy in salt, fat, and/or cholesterol are common causes of high blood pressure. Chronic diseases include conditions including kidney and hormone problems, diabetes, and high cholesterol.Especially if your parents or other near relatives have high blood pressure, family history.The force that propels blood through the circulatory system is blood pressure. Without blood pressure, the circulatory system would not be able to transport nutrients and oxygen to nourish tissues and organs.Learn more about blood pressure here:
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The nurse is caring for a client with a suspected skin malignancy. The nurse anticipates that the client will undergo which diagnostic test
The nurse anticipates that the client will undergo a biopsy.
What is a biopsy?A biopsy is a process to take a sample of your body's cells or tissue so that it may be examined in a lab. If you exhibit specific signs and symptoms or if your doctor has found a problem area, you might be required to have a biopsy.
Procedures for doing biopsies come in a wide variety. The three most popular types are:
(1) incisional biopsy, in which only a little sample of tissue is taken,
(2) excisional biopsy, in which the entire lump or questionable area is taken out, and
(3) needle biopsy, in which a small sample of tissue or fluid is taken out using a needle.
A minor chance of bleeding and infection at the place where the needle was put exists with needle biopsies. After a needle biopsy, some minor discomfort is normal, although it is typically manageable with over-the-counter analgesics.
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The nurse is assessing a 6-year-old child. According to Piaget, what should the nurse expect to observe in the child at this stage
According to Piaget - The child's imagination shapes their thinking. The kid is capable of thinking about things that aren't happening right now.
For Piaget, all subsequent learning and knowledge are built upon a very fundamental mental framework that is both genetically inherited and evolved at birth. The fundamental building elements of this cognitive development—schemas—allow us to create a mental picture of the outside world.
Piaget thought that children grow through an ongoing desire to learn and the adaptation of their schemas, which are cognitive development models that aid in understanding. His theories continue to have a significant influence on approaches to education and child psychology.
Piaget identified four stages of cognitive development. - Stage of the sensorimotor (0–2 years old) Stage prior to procedure (2–7 years old) concrete stage of operation (7–11 years old) formal phase of operation (11 years old through adulthood)
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Antibiotic drugs are commonly used in the pediatric population. Why would the tetracyclines be contraindicated in children younger than 8 years of age
Tetracyclines are often not prescribed to infants and young children (8 years of age and under) because they can permanently discolor or stain teeth.
Tetracycline is an antibiotic that combats bacterial infections. It is used to treat a variety of bacterial infections that affect the skin, intestines, respiratory tract, urinary tract, genitalia, lymph nodes, and other parts of the body. It is frequently used to treat severe acne as well as STIs such as chlamydia, gonorrhea, and syphilis. Tetracycline should not be administered to children under the age of 8 as it might stunt a child's development and stain their teeth permanently.
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An order is received for trimethoprim/sulfamethoxazole 15 mg/kg/day in 3 divided doses in a patient with PCP who weighs 64 kg. How many mL of IV trimethoprim/sulfamethoxazole should be added to the IV bag for one dose
Doses required:
CrCl < 30mL/min: 5 mg/kg q12hr
HD: 10 mg/kg post-HD
CRRT: 5 mg/kg q12hr
Total daily dose: 15-20 mg/kg/day for Pneumocystis treatment
Pneumocystis pneumonia (PCP) :The fungus Pneumocystis jirovecii is the source of the dangerous infection known as pneumocystis pneumonia (PCP). The majority of PCP users have a medical condition like HIV/AIDS or take medications like corticosteroids that make it harder for their bodies to fight infection and disease.
Typically, doctors use TMP/SMX, also known as trimethoprim and sulfamethoxazole, to treat PCP (Bactrim, Cotrim, Septra). You will either receive them as pills to ingest or through an IV at the hospital, depending on how ill you are. Typically, PCP treatment lasts 21 days. Depending on the medications used, whether you've experienced prior PCP episodes, the severity of the sickness, the status of your immune system, and other factors, you may respond differently to a treatment.
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which type of loss is illustrated when a young adult loses a limb from diabetes and is very upset about it
When a young adult loses a limb from diabetes and is very upset about it, he suffers from an actual loss.
What is loss in nursing?Loss and grief are something that all people will experience in their lifetime.The loss may be actual or perceived and is the absence of something that was valued. An actual loss is recognized and verified by others while others cannot verify a perceived loss. Both are real to the individual who has experienced the loss. Grief is the internal part of the loss; it is the emotional feelings related to the loss. Actual loss is more tangible and able to be identified by others such as death, theft, deterioration, or destruction.Perceived loss is internal and identified only by the person experiencing it.Learn more about loss here:
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A patient has returned to his room after a thyroidectomy with signs of thyroid crisis. During thyroid crisis, exaggerated hyperthyroid manifestations may lead to the development of the potentially lethal complication of:
A patient has returned to his room after a thyroidectomy with signs of thyroid crisis. During thyroid crisis, exaggerated hyperthyroid manifestations may lead to the development of the potentially lethal complication of:
During thyroid crisis, exaggerated hyperthyroid manifestations may lead to the development of the potentially lethal complication of Thyroid storm.
What is a major complication of hyperthyroidism?The most serious complications of hyperthyroidism is the heart that include a rapid heart rate, a heart rhythm disorder which is also known as atrial fibrillation that increases the risk of stroke, and congestive heart failure that is a condition in which our heart can't circulate enough blood that meet your body's needs. Thyroid storm is also known as thyrotoxic crisis which is an acute, life-threatening complication of hyperthyroidism. It is an exaggerated form of thyrotoxicosis.
So we can conclude that During thyroid crisis, exaggerated hyperthyroid manifestations may lead to the development of the potentially lethal complication of Thyroid storm.
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Mrs. Rainwater has been diagnosed with hypertension. This is documented in which section of the patient record
Mrs. Rainwater has been diagnosed with hypertension. This is documented in Problem list and assessment field of the progress note.
An itemized list of a patient's health issues, such as nontransitive illnesses or diseases, wounds they have sustained, and other issues that have harmed them or are still bothering them, is known as a problem list.By highlighting the most significant health aspects of each patient, the problem list enables clinicians to deliver individualized therapy.The issue list aids in locating people affected by particular diseases. It is simpler to review medical histories in the electronic health records (EHR) system or analyze medical information and identify all individuals who share a common condition using ICD-11 coded disorders.Using the problem list, the care team can carry out quality-improvement initiatives by identifying patient populations with certain diseases, offering follow-up care, and making sure all patients receive treatment that complies with their needs.learn more about diagnosed here: https://brainly.com/question/3787717
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A set of analytic statements that explain a set of phenomena, such as why people practice poor health behaviors is known as a(n)
Behavioral psychology explains the set of phenomena where people practice poor health behavior.
The actions that are taken by a person to improve their health are known as Health behavior. Practicing poor health behavior like engaging in intake of excess tobacco, alcohol, drugs, etc., deteriorates the health of an individual. Many deaths and cases rise due to poor health behavior in the United States. Behavioral psychology deals with health instructor which improve the wellness of a person by guiding, motivating, and changing the negative beliefs of the person. It involves encouraging individuals to improve their lifestyles.
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The nurse is caring for a client with a chest tube and chest drainage system. Which action is most appropriate for the nurse to implement
Clamp the chest tubes when suctioning action is most appropriate for the nurse to implement.
Which should the nurse do when caring for a client with a chest tube attached to a chest drainage system?
Never lift drain above chest levelNever lift drain above chest level.The unit and all tubing should be below patient's chest level to facilitate drainage.Tubing should have no kinks or obstructions that may inhibit drainage.Ensure all connections between chest tubes and drainage unit are tight and secure.What steps should you take to ensure that chest tube drainage system is functioning properly?
Apply pressure to the area where the chest tube will be inserted as soon as possible, then cover the area with sterile gauze or a sterile Jelonet gauze and dry dressing to ensure a tight seal. When the patient exhales, clothe them. Call a code if the patient experiences respiratory distress.Learn more about drainage system
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According to stephen blair’s research, how did the fat and fit men’s mortality rate compare to normal-weight men who were unfit?
Obese exercise enthusiasts, such as Steven Blair, PED, of the Cooper Institute in Dallas, who identifies as a small, fat guy who runs every day. According to cardiovascular measurements like stress testing, Blair claims that persons who are obese but fit have mortality rates or that are half as high as those who are average weight but unfit.
Exercise has several advantages beyond calorie reduction. Such as-
The prevention of heart diseaseType 2 diabetesDepressionSeveral types of cancerOsteoporosis is aided by regular physical activityAdditionally, it can raise self-esteem, lessen anxiety, and aid in stress managementAnd increasing your level of exercise typically leads to higher muscle mass, which means your body burns calories more frequentlyTo know more about mortality rates click here
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The nurse wants to maintain a neutral thermal environment for her assigned neonatal clients. Which intervention would best ensure that this goal is met
Promote early breastfeeding for the infants.
BreastfeedingWhen you breastfeed, you typically give your baby breast milk straight from your breast. Nursing is another name for it. It's a personal decision whether or not to breastfeed. It's also one that will probably elicit reactions from relatives and friends.
The American Academy of Pediatrics (AAP) and the American College of Obstetricians and Gynecologists both highly advise breastfeeding exclusively for six months (without the use of formula, juice, or water). It suggests continuing to nurse during the infant's first year of life even after introducing other foods. Whether your infant prefers short, frequent meals or longer feedings will determine how frequently you should nurse. This will alter as your child gets older. Most newborns desire to eat every two to three hours.
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A client who is receiving nitrofurantoin calls the clinic complaining of troublesome effects related to the medication. Which side or adverse effect(s) indicates the need to stop treatment with this medication
Cough and chest pain is the side or adverse effects indicating the need to stop treatment with this medication in nitrofurantoin
Nitrofurantoin is used to deal with urinary tract infections. This medication is an antibiotic. It really works by killing bacteria or stopping their growth. But, this medicine will no longer paintings for colds, flu, or different virus infections.
How long does nitrofurantoin take to paint for a UTI? Your antibiotic ought to start running within three to five days, although it may soak up to every week for signs and symptoms to clear. Make sure to complete the whole course of drugs. That is the simplest manner to make certain the infection absolutely is going away.
Nitrofurantoin is as powerful as different lengthy-time period antibiotics for stopping recurrent urinary tract infections. The antibiotic nitrofurantoin works as well as other lengthy-term antibiotics for preventing recurrent urinary tract infections in girls.
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During the systole phase of the cardiac cycle, high blood pressure in the ventricles forces the.
Snacks provide about _____ of the average teenager’s total daily food energy intake.
Snacks provide about one -fourth of the average teenagers total daily food energy intake.Eating healthy food is an important part of our healthy life.
The food that provides most helpful to teens are whole-wheat, enriched , or fortified breads.Vitamins and minerals are are important intakes for teenagers in their young age.Calories needs vary depends on age and gender and according to to activity level of teenagers.
Boys require an average 3000 calories a day an girls requires 2500 calories a day not more not less . The body demands more calories during early adolescence .Teenagers should limit their intakes to 25 to 35 % of total calories every day in snacks.
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A client who has been experiencing prolonged vomiting has the following ABG results: pH 7.48; pCO2 40 mm Hg; HCO3 34 mEq/L; pO2 85 mm Hg. The nurse determines that the client is experiencing which of the following imbalance
The nurse determines that the client experiencing Metabolic Alkalosis imbalance.
When digestive difficulties throw off the blood's acid-base equilibrium, metabolic alkalosis results. Additionally, it might be brought on by illnesses of the heart, liver, or kidneys. Typically, metabolic alkalosis poses a minimal danger to life. Once it has been treated, it has no aftereffects on your health.
The use of diuretics and external loss of gastric secretions are the two most frequent causes of metabolic alkalosis.
The pH may be high or close to normal in metabolic alkalosis, which is primarily characterized by an increase in bicarbonate (HCO3) with or without a compensatory increase in carbon dioxide partial pressure (Pco2). Prolonged vomiting, hypovolemia, the use of diuretics, and hypokalemia are common reasons.
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A bipolar client presents to the clinic with reports of headaches and feeling more irritable than usual. What is the best nursing response
A nurse can provide for the safety of the patient, meet the physiological needs, and provide therapy to make the bipolar patient comfortable.
Bipolar Disorder
Bipolar disorder is a mental illness in which the person exhibits depression which alternates with mania. The person suffering from bipolar disorder can exhibit more than 6 or more emotions if the disorder reaches extreme levels. These feelings go from reasonable to extreme levels and can be seen as a cause of concern. The person may feel irritable because of little things and this can explode into annoyance or anger issues.
When a nurse is approached by such a patient she can ensure,
Safe environment: - A nurse can provide a safe environment for the client and related people. This can make them feel at ease. Meet the physiologic needs: - Keeping the patient away from distracting visuals, noises, smells, etc can help them calm their nerves. Keeping the patient in a room where tv, noises, radio, etc are not present will help them calm down. Therapeutic communication: - Therapeutic communication is the way of speaking in small, clear sentences to address the patient as they might suffer from short attention spans.Learn more about bipolar disorder here:
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iron toxicity is a serious cause of poisoning in children. it is fatal because of an ulcerogenic effect
Hemorrhage
Due to the ulcerogenic effects of unbound iron, hemorrhage may develop.
What is hemorrhage?Blood is lost from a broken blood artery during a hemorrhage. Blood loss can be minimal or significant, and the bleeding may occur inside or outside the body.
Symptoms:
Although diverse regions of the body might experience hemorrhage, all types of hemorrhage share a few similar signs and symptoms. They consist of the following:
bleeding that won't stop even applying pressureswelling and the discharge of brown or yellow pusbeing in shock or having a high feverCauses:
Deep-cutting scrapes or abrasions on the skinA lack of vitamin KBrain injuryLow blood platelet count, often known as thrombocytopeniaCancersAn internal organ injuryI understand the question you are looking for is this:
Iron toxicity is a serious cause of poisoning in children. It may be fatal because of an ulcerogenic effect, resulting in which of the following?
A. Infection
B. Hemorrhage
C. Infarction
D. Kidney failure
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After teaching a patient about management of migraine headaches, the nurse determines that the teaching has been effective when the patient states...
After teaching a patient about management of migraine headaches, the nurse determines that the teaching has been effective when the patient states "I will lie down someplace dark and quiet when the headaches begin."
What is migraine?Migraine is a type of severe headache ache or pains felt at the neck region which occurs due to abnormal brain activities which temporarily affects nerve signals, chemicals and blood vessels in the brain.
The natural ways to help relieve the pains of migraine include the following:
Dim the light source: This will help reduce the amount of light entering the eyes.Yoga and meditation can help naturally to reduce migraines.Therefore, the statement "I will lie down someplace dark and quiet when the headaches begin." shows that the patient understood the teaching about management of Migraine.
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What is the medical assistants role in contributing to the efforts of the health care team in the area of managed care
The medical assistant helps by explaining the terminologies they use to the patients in clear language.
Who is a medical assistant?The term medical assistant refers to those trained personnel at the hospital that helps a doctor to discharge his duties. They perform minor tasks such as taking vital signs etc.
The roe of the medical assistant in contributing to the efforts of the health care team in the area of managed care is to assistants the doctors and nurses by explaining the terminologies they use to the patients in clear language.
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Which clinical manifestation may occur during the acute viral infection stage of human immunodeficiency virus infection
Flu-like Symptoms may occur during the acute viral infection stage of human immunodeficiency virus infection.
The initial stage of HIV infection is known as acute HIV infection, and it typically appears 2–4 weeks after HIV infection. Some people experience flu-like symptoms at this time, including fever, headache, and rash. HIV multiplies quickly during the acute stage of infection and spreads all over the body.
The immune system's infection-fighting CD4 cells (CD4 T lymphocytes) are attacked and destroyed by the virus. The risk of HIV transmission significantly rises during the acute HIV infection stage due to the extremely high HIV blood levels. If ART is initiated at this point, a person might have major health benefits.
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A client with gastroesophageal reflux disease (GERD) has been experiencing severe reflux during sleep. Which recommendation by the nurse is most effective to assist the client
which findings from the client's history would be symptoms of insomnia disorder select all the apply fatigue panic attacks acute pain
Answer:
symptoms Agoraphobia anxiety disorder due to a medical condition generalized anxiety disorder panic disorder selective mutism separation anxiety disorder
Insomnia is a sleep disorder in which a person is having trouble falling in sleep. Fatigue, panic attacks and acute pain- all of these are causes of insomnia. Thus, all the options are correct.
What is Insomnia?Insomnia is a sleep disorder in which an individual is facing trouble falling and staying asleep. The condition can be acute or chronic. It may also come and go on its own sometimes. Acute insomnia lasts from 1 night to a few weeks while chronic happens when it happens at least 3 nights a week for 3 months or more.
Causes of insomnia are stress, irregular sleep schedule, poor sleeping habits, mental health disorders, physical illnesses, pain, medications, and neurological problems.
Therefore, all the options are correct options.
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A nurse is caring for a client with type 1 diabetes who is being discharged home tomorrow. What is the best way to assess the client's ability to prepare and self-administer insulin
Observe the client drawing up and administering the insulin. s the best way to assess the client's ability to prepare and self-administer insulin.
Patients with type 1 diabetes typically start out with two daily injections of two distinct types of insulin and work their way up to three or four daily injections of various types of insulin. Their blood glucose levels determine the kind of insulin utilized. Studies have indicated that three or four insulin injections per day provide the best blood glucose control and can halt or delay the diabetic damage to the eyes, kidneys, and nerves.Pinch the skin and insert the needle 45 degrees apart.You might be able to inject 90 degrees up and down if your skin tissues are thicker.Incorporate the needle completely into the skin. keep the syringe in position for five seconds before removing.
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