The nurse finds that the client is not willing to participate in the durg rehabilitation program and still uses cocaine frequently, so she will instruct the client to stop breastfeeding for infant nutrition.
For infant nutrition, bone milk is stylish. It has all the necessary vitamins and minerals. Child food formulas are available for babies whose maters aren't suitable to or decide not to breastfeed. babies are generally ready to eat solid foods at about 6 months of age.
The World Health Organization( WHO) recommends breastfeeding up to 2 times or further. They also recommend to breastfeed a child for at lest a year for their good nutrition.
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A 20 - year - old woman has had worsening fatigue for the past year . On examination her mucus membranes are pale . No hepatosplenomegaly is present . Her CBC shows a Hgb of 7.1 g / dl . , Het 19.9 % , MCV 67 fl , platelet count 190,000 / uL . , and WBC count 5,400 / uL . There is no history of drug ingestion . Which of the following is the most likely etiology for her findings ?
A. Cobalamin deficiency
B. G6PD deficiency
C. Folate deficiency
D. Iron deficiency
A. Cobalamin (Vitamin B12) deficiency is the most likely etiology for her findings.
What is vitamin B12 deficiency?Vitamin B12 deficiency is a condition in which the body does not have enough vitamin B12 to function properly. Vitamin B12 is an essential nutrient that helps to produce red blood cells, maintain the nervous system, and support the production of DNA.
A deficiency in vitamin B12 can cause a wide range of symptoms, including fatigue, weakness, constipation, nerve damage, loss of appetite, weight loss, and a type of anemia called megaloblastic anemia.
There are several causes of Vitamin B12 deficiency:
Malnutrition: not getting enough Vitamin B12 in the diet, people who follow a vegan or vegetarian diet, have a higher risk of developing a deficiency as vitamin B12 is mainly found in animal foods.Lack of intrinsic factor: Some people don't produce enough intrinsic factor, which is a protein that helps the body absorb vitamin B12 from food.Gastrointestinal disorders: such as Crohn's disease, celiac disease, bacterial growth, or surgery that affects the stomach or small intestineMedications: Long-term use of certain medications such as proton pump inhibitors (PPIs) and metformin can interfere with the absorption of vitamin B12Learn more about Vitamin B12, here:
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two different subatomic particles are describe below : Particle Y carries a positive charge. Particles C orbits the nucleos which stament is true
Answer:
It is not clear from the information provided which statement is true. Could you please provide more context or clarify the question?
A woman who delivered her infant 2 days ago asks the nurse why she wakes up at night drenched in sweat. She is concerned that this is a problem. The nurse's best reply would be:
The nurse's best reply would be sweating is common in the first few days after childbirth because your body has to expel all of the extra fluids from pregnancy.
Diaphoresis is common among postpartum women as just a mechanism to eliminate extra fluids and waste through the skin. During the initial days after giving birth, it isn't uncommon for a mother to wake up soaked in perspiration. This is a common occurrence and is not a reason for alarm.
Sweating is the body's natural method of controlling its temperature. Sweating is frequently caused by physical effort, an increase in body temperature, and exposure to heat. Sweat functions as a coolant, lowering internal body temperature.
In some circumstances, mental or emotional stress may cause a person to sweat in the armpits or the palms of their hands. Diaphoresis normally goes away after the underlying reason is identified. This article examines the various causes and treatment options.
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Which of the following statements regarding pelvic inflammatory disease (PID) is correct?
a. The most severe cases of PID occur in women who are not sexually active.
b. PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy.
c. PID most commonly affects women who have had an ectopic pregnancy in the past.
d. The most common presenting symptom of PID is generalized upper abdominal pain.
Statement B is correct regarding pelvic inflammatory disease (PID) is correct: PID can scar the fallopian tubes, which increases the risk of an ectopic pregnancy.
A female reproductive system infection is known as pelvic inflammatory disease (the cervix, uterus, fallopian tubes, and ovaries). Women who are sexually active are typically affected by pelvic inflammatory disease. Women who have experienced pelvic inflammatory illness are 6–10 times more likely to experience a tubal pregnancy (a form of ectopic pregnancy). The fetus develops in a fallopian tube rather than the uterus during a tubal pregnancy. The woman's life is in danger during this type of pregnancy, and the fetus is not viable. Therefore, option B is he appropriate answer.
Women typically experience lower abdominal pain, vaginal discharge, and erratic vaginal bleeding. The diagnosis is made using the patient's symptoms, examination of vaginal and cervix secretions, and occasionally ultrasonography. Using condoms and restricting sexual activity to one partner lower the risk of contracting an infection.
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a patient diagnosed with cholecystitis reports pain in the back and scapular areas. What does the nurse infer about the type of pain from the assessment
From the evaluation, the nurse deduces what kind of pain the patient is experiencing.
When evaluating a patient with opioid-related oversedation, many nurses pay close attention to the patient's pulse oximetry, blood pressure, & respiration rate. Sedation, lightheadedness, dizziness, nausea, vomiting, constipation, and diaphoresis are among the most frequently reported side effects. Patients with acute and severe bronchial asthma and hypercarbia should not use morphine sulphate. Any patient who has paralytic ileus or who is suspected of having it should not take morphine sulphate. The principal danger of morphine sulphate is respiratory depression. Depression of the central nervous system, nauseousness, vomiting, and urine retention are some other frequent adverse effects. One of the most severe opiate-related side effects that is crucial to watch out for in the preoperative patient population is respiratory depression.
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The nurse manager wants to use evidence-based recommendations to prevent ventilator-associated pneumonia. What is the critical first step to effectively gather evidence for guiding practice
The critical first step to effectively gather evidence for guiding practice and prevent ventilator-associated pneumonia is to conduct a thorough and systematic literature review.
This involves identifying relevant research studies, critically evaluating the quality and relevance of the studies, and synthesizing the findings to generate evidence-based recommendations. The nurse manager should start by developing a clear and specific research question related to ventilator-associated pneumonia prevention. Then, the manager should use multiple databases such as PubMed, CINAHL, and Cochrane Library to search for relevant studies. The manager should also use appropriate keywords and filters to ensure that the search is as comprehensive as possible. After identifying relevant studies, the manager should critically evaluate the quality of the studies using established tools such as the Cochrane Risk of Bias tool and the GRADE system. The manager should also consider the relevance of the studies in terms of the population, intervention, comparator, and outcome. The manager should then synthesize the findings from the studies to generate evidence-based recommendations.
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which form of treatment is used to promote the healing process by dilating blood vessels which allows for more circulation to occur in the affected area.
Vasodilators form of treatment is used to promote the healing process by dilating blood vessels which allows for more circulation to occur in the affected area.
Vasodilation is the medical term for when blood vessels in your body widen, allowing further blood to inflow through them and lowering your blood pressure. This is a normal process that happens in your body without you indeed realizing it.
Vasodilators are specifics that open( dilate) blood vessels. They affect the muscles in the walls of the highways and modes, precluding the muscles from tensing and the walls from narrowing. This enables further effective delivery of the vulnerable cells necessary for defense and form. As a result, blood flows more fluently through the vessels.
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The magicoreligious theory can best be described as: Group of answer choices Illness occurs because of hot and cold reactions Each part is a piece of the larger structure in the world of nature. The struggle between good and evil is reflected in a person's health
The magic religious theory can be described as each part being a piece of the larger structure in the world of nature.
In the body of religion, the element of magic is an integral part. Broadly speaking, magic can be said to be beliefs and habits according to which humans believe that they can directly influence their own natural and reasoning forces either for good or for bad purposes by their efforts in manipulating higher powers.
The existence of beliefs and beliefs originating from external (impersonal) humans shows the existence of an element of magic, while the personification of God as a force outside of humanity shows the existence of religion because it raises awareness of actions and ceremonies.
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Identifica los compromisos que asume el médico y cuál es la importancia del Juramento Hipocrático. Explícalos con tus palabras pensándolos en la actualidad de la medicina.
Answer:
Este Juramento Hipocrático , con algunas modificaciones, es el mismo que en la actualidad deben firmar los que terminan sus a sus discípulos, que llevarían a lo largo del mundo la medicina. A más de dos milenios, la concepción del griego continúa siendo la base de la ética médica a nivel global.
Explanation:
a nurse is caring for a client with hyperparthyroidism and notes that the client's serum calcium level is 13 mg/dl. which medication
a nurse is caring for a client with hyperparthyroidism and notes that the client's serum calcium level is 13 mg/dl. medication Calcitonin (Miacalcin)
The parathyroid hormone, which is made by the thyroid glands, aids in preserving the proper level of calcium in the blood and in tissues that require calcium for healthy function. For bone health as well as nerve and muscle function, this is extremely crucial.
Hyperparathyroidism comes in two flavors. Primary hyperparathyroidism is characterized by an overproduction of parathyroid hormone brought on by enlargement of one or more parathyroid glands. High blood calcium levels as a result of this can result in a number of health issues. The most often used therapy for primary hyperparathyroidism is surgery.
Another condition that first results in low calcium levels in the body can lead to secondary hyperparathyroidism. As the body struggles to maintain a high calcium level, elevated parathyroid hormone levels develop over time.
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Which of the following statements best describes the electrical events recorded by an electrocardiogram (ECG)?
A) the sum of the electrical activity of the autorhythmic cells only
B) the sum of the electrical activity of the contractile cells only
C) the sum of the electrical activity of all cells in the heart
D) the sum of the electrical activity of all the cells of the body
C) All of the heart's electrical activity added collectively. The electrocardiogram's electric signals are characterized by this expression (ECG).
What does the ECG do, and why?One of the most efficient and straightforward techniques for evaluating the heart is an echocardiogram (ECG). A few regions on the chest, arms, and legs include electrodes—small plastic patches that adhere to the skin.
What happens most frequently during an ECG?The P wave, Q wave, R wave, S wave, T wave, and U wave are among the waves that can be seen on an ECG. Interval is the amount of time before two distinctive ECG events. The PR interval, QRS interval, QT interval, and RR interval are among the intervals routinely measured on an ECG.
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If a hospital patient is given 100 milligrams of medicine which leaves the bloodstream at 14% per hour, how many milligrams of medicine will remain in the system after 10 hours
If a hospital patient is given 100 milligrams of medicine which leaves the bloodstream at 14% per hour, 24.66 milligrams of medicine will remain in the system after 10 hours.
Bloodstream is the flow or movement of blood throughout the body. Blood carries oxygen, nutrients, and other important substances from the heart, through the blood vessels, to the rest of the body's cells, apkins, and organs. It also helps to get relieve of waste products, similar as carbon dioxide, from the body.
Conventional ultramodern medicine is occasionally called allopathic drug. It involves the use of medicines or surgery, frequently supported by comforting and life measures. Indispensable and reciprocal types of drug include acupuncture, homeopathy, herbal drug, art remedy, traditional Chinese drug, and numerous further.
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a. Describe the three stages of prenatal development your baby will go through during the pregnancy.
Answer:
1. Germinal Stage (First two weeks after conception are known as the Germinal stage)
2. Embryonic Period (The third through the eighth week is known as the Embryonic period)
3. Fetal Period (The time from the ninth week until birth is known as the Fetal period)
Explanation:
In anticipation of a client returning to the room after a subtotal thyroidectomy, which intervention would be highest priority for the nurse to perform
In anticipation of a client returning to the room after a subtotal thyroidectomy, the highest priority intervention for the nurse would be be to set up a tracheostomy kit by the patient's bed.
Sometimes the parathyroid glands are unintentionally removed during thyroid surgery. A subsequent hypocalcemia may cause the glottis to contract, obstructing the airway. Edema at the surgical site may also do the same. Airway obstruction following thyroid surgery is an emergency circumstance, albeit being uncommon. A tracheostomy kit, suction tools, and oxygen should be easily accessible in the client's room. The laryngeal nerve needs to be assessed through speech, so having a pen and paper on hand is appropriate. It is recommended to adopt a semi-Fowler position to increase respiratory excursion. A patent airway, however, takes precedence over these procedures.
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the nurse is asked to administer captopril for aterload reduction in a chuld with heart failuer. which action does the nurse
The nurse is asked to Monitor blood pressure.
Captopril, also known as Capoten, is an angiotensin-converting enzyme inhibitor used to treat hypertension and some kinds of congestive heart failure. Captopril was the first oral ACE inhibitor discovered to treat hypertension.
Captopril has an L-proline group, which makes it more accessible in oral forms. The thiol moiety inside the molecule has been linked to two significant negative effects: hapten and immunological response. This immunological reaction, also known as agranulocytosis, may explain the adverse medication events associated with captopril, such as hives, severe stomach discomfort, trouble breathing, and swelling of the face, lips, tongue, or neck. Captopril side effects include cough caused by a rise in plasma bradykinin levels, angioedema, agranulocytosis, proteinuria, hyperkalemia, taste change, teratogenicity, postural hypotension, acute renal failure, and leukopenia.
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Home remedies are common among the African American community and can include all of the following except:
Home remedies are common among the African American community and can include all of the following except: iodione. African American infant mortality.
What health condition are African Americans most at risk for?According to the Office of Minority Health, a division of the Department of Health and Human Services, African Americans are typically more susceptible to heart disease, stroke, cancer, asthma, influenza, pneumonia, diabetes, and HIV/AIDS than their white counterparts.
African Americans are more likely than other races to die young from all causes, according to the Centers for Disease Control and Prevention (CDC),2 and this may be because young African Americans are more likely to be affected by diseases than other races to be when they are older. For instance:
Between the ages of 18 and 34, high blood pressure affects 12% of black people and 10% of white people, respectively. It is prevalent in 33% of people aged 35 to 49, compared to 22% of this age group.
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Which increased physiological response would the nurse include when explaining the need for weight loss to a client who is diagnosed with diabetes
The increased physiological response that the nurse would include when explaining the need for weight loss to a client who is diagnosed with diabetes is Insulin requirements.
Obesity causes cellular insulin resistance, requiring more insulin to transfer glucose across cell membranes. Fatty acid metabolism is altered. Fatty acids deteriorate, and storage capacity decreases. Obesity lowers glucose oxidation while increasing insulin needs. Obesity raises the resistance of peripheral cells to glucose admission.
Diabetes is a chronic medical condition that affects how body transforms food into energy. The body converts the bulk of the food eaten into sugar (glucose) and releases it into the circulation. When the blood sugar levels rise, the pancreas sends a signal to the muscles to produce insulin.
The majority of diabetes types have no known cause. Sugar builds up in the bloodstream under all circumstances. This is caused to the pancreas producing inadequate insulin. Diabetes, both type 1 and type 2, can be caused by a combination of inherited and environmental factors.
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Select the correct answer. It may be healthier to be slightly overweight than to experience weight cycling. A. True B. False
Choose the right response. It is true that maintaining a stable weight rather than experiencing weight cycling may be healthier.
Weight cycling: what is it?Yo-yo dieting, often known as weight cycling, is the practise of intermittently losing and gaining weight. Weight-loss therapies are useless for all but a small number of people over the long term, according to a large body of studies. In reality, it's quite uncommon for someone to "reduce weight and keep it off."
For instance, a 2007 evaluation of long-term weight-reduction trials (Mann et al. 2007; CW for weight-stigmatizing terminology) discovered that the average weight loss maintained across therapies was only a few pounds, meaning that persons who began in the "obese" BMI category stayed there.
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By law an 'if you are injured' poster must be displayed. where would you display this poster?
Answer:
An 'If you are injured" poster is required to be put in a noticeable place so people can see it.
The nurse is collecting data from a child who may have a seizure disorder. Which nursing observations suggest an absence seizure
The nursing observations suggests an absence seizure is Minimal or no alteration in muscle tone, with a brief loss of responsiveness or attention.
A seizure is a sudden, uncontrollable electrical breakdown in the brain. It can influence your behaviour, movements, and sensations, as well as your level of consciousness. The term "epilepsy" refers to two or more seizures that occur at least 24 hours apart and are not induced by a known cause.
Seizures can occur both provoked and unprovoked. Provoked seizures occur as a result of a transitory event such as low blood sugar, alcohol withdrawal, alcohol abuse while taking prescription medicine, low blood sodium, fever, brain infection, or concussion. Unprovoked seizures occur when there is no recognised or treatable cause, and they are likely to continue. Stress or sleep deprivation may aggravate unprovoked seizures. Epilepsy is a brain condition in which there has been at least one spontaneous seizure and there is a significant chance of future seizures. Fainting, nonepileptic psychogenic seizure, and tremor are examples of conditions that appear to be epileptic seizures but are not.
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In 1980 Medicare authorized implementation of ambulatory surgical center (ASC) __________ rates as a fee to ASCs for facility services furnished in connection with performing certain surgical procedures.
In 1980, Medicare authorized the implementation of ambulatory surgical center (ASC) payment rates as a fee to ASCs for facility services furnished in connection with performing certain surgical procedures.
This means that Medicare would provide reimbursement to ASCs for the use of their facilities when certain surgical procedures were performed. This authorization was a recognition by Medicare of the cost-effectiveness and quality of care provided by ASCs, and it helped to further establish ASCs as an alternative to hospital-based outpatient surgery. This reimbursement policy helped to increase the number of ASCs and the variety of procedures performed in them, and it also helped to reduce the overall cost of care for Medicare beneficiaries. This also means that ASCs were reimbursed for their space usage and not for the surgical procedures itself which are covered by other reimbursement schemes.
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Steven is about to start his second round of chemotherapy. His chemotherapy medication is dosed by his BSA. He weighs 200 lb and is 72 in tall. What is his BSA
2.15 m2 start his second round of chemotherapy. His chemotherapy medication is dosed by his BSA. He weighs 200 lb and is 72
Chemotherapy is used at what stage of cancer?
Chemotherapy and/or targeted therapies are the principal treatments for extensive stage 4 colon cancer. Your care team may recommend surgery to treat that specific location and treat symptoms if the cancer is encroaching on other organs or producing specific symptoms.Is chemotherapy only used for cancer?
Chemotherapy is a common family of medications used to treat a wide range of illnesses, including but not limited to: malignancies, blood problems, and a wide range of autoimmune diseases. Similar to how it can be given orally, topically, intravenously, or subcutaneously, it can also be given in many other ways.
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While explaining the importance of developing leadership skills among nurses to a group of first-year nursing students, Natalie, a nursing unit manager, emphasizes that:
Nursing Unit Manager Natalie explains to a group of first-year nursing students the importance of developing leadership skills among nurses, emphasizing: The public needs nurses to take the lead in advancing consumer advocacy concerns.
The four basic skills for leadership in nursing are communication, problem-solving, management, and self-assessment. The most important leadership skill for nursing students in clinical care coordination. Prioritization, time management, and clinical decision-making are secondary factors involved in coordinating clinical care. She believes clear and open communication, accountability and defined roles, and participatory decision-making are key to a healthy environment. Communication skills are key to effective leadership, regardless of the type of leader or the type of unit the caregiver leads.
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A nurse working in an acute care for elders unit observes that a client on the unit frequently stumbles when ambulating with a walker. Which action by the nurse is best
The nurse should assess the client's gait and balance, and document the observations. The nurse should also ask the client about any pain or discomfort they may be experiencing when ambulating.
If the client is experiencing pain or discomfort, the nurse should provide appropriate pain management and report it to the physician. The nurse should also assess the client's walker for proper fit and function, and make any necessary adjustments. If the client is still struggling with ambulation, the nurse should consider using an assistive device such as a rolling walker or a wheelchair, and consult with the physician and physical therapist. The nurse should also consider environmental factors that may be contributing to the client's unsteadiness and make necessary adjustments, such as providing additional lighting or removing obstacles.
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What communication barriers might exist between patients and healthcare workers?
The communication barriers which might exist between patients and healthcare workers include the following below:
Competing demandsLack of privacyBackground noiseWhat is Communication?This is referred to as the act of transferring information from one place, person or group to another and it involves the use of various medium and methods such as mass media, talking etc.
In a healthcare facility such as in a hospital, information is usually passed verbally which involves the speaking of words for better understanding as different topics are explained thoroughly.
However, there may be some communication barriers which may hinder a patient or worker from hearing one another such as background noise from other rooms and also lack of privacy.
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A client reads the nutritional chart and follows it accurately. The nurse also notes that the client understands the need for a balanced diet and its relationship with a quick recovery. In which domain is the client demonstrating successful learning
The client is demonstrating successful learning in the cognitive domain.
The cognitive domain deals with the acquisition and use of knowledge, including the ability to understand and process information. In this scenario, the client is demonstrating successful learning by reading the nutritional chart and following it accurately, as well as understanding the need for a balanced diet and its relationship with a quick recovery. This shows that the client has acquired and processed the necessary information, and is able to apply it to their own health and well-being. The cognitive domain also includes critical thinking, problem-solving, and decision-making, which can be applied to the client's health choices.
It is important to note that there are other domains of learning such as affective, psychomotor and physiologic, each of them focus on different aspects of learning and development.
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A client with sickle cell crisis reports severe generalized pain. Which intervention is a priority for correcting vaso occlusion
The intervention which is a priority for correcting vasocclusion is administer high-low IV fluids.
Sickle cell disease (SCD) is a set of hereditary blood diseases. The most frequent kind is sickle cell anaemia. It causes a change in the oxygen-carrying protein haemoglobin, which is present in red blood cells. Under some conditions, this results in a hard, sickle-like form. The symptoms of sickle cell disease usually appear between the ages of 5 and 6 months.
A variety of health issues may arise, including pain episodes (known as a sickle cell crisis), anaemia, swelling in the hands and feet, bacterial infections, and stroke. Long-term discomfort can develop as people age. In the industrialised world, the average life expectancy ranges from 40 to 60 years.
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A nurse prepares to discharge an older adult patient home from the emergency department (ED). What actions should the nurse take to prevent future ED visits
In order to reduce the need for future ED visits, the nurse should additionally screen older persons for functional evaluation,
cognitive assessment, and fall risk.
What does a cognitive assessmentinclude?
How does a cognitive test work? Cognitive tests come in a variety of forms. Each entails responding to a series of questions and/or carrying out easy tasks. They are created to aid in measuring mental abilities including memory, language, and the capacity to recognize objects.What are the four types of cognition?
The theory and application of cognitive functions. Carl Jung's theory of cognitive functions serves as the foundation. Among them, he named four as sense, intuition, reasoning, and feeling.
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A patient diagnosed with type 2 diabetes requests a refill of a prescription for extended-release glipizide. The patient is approximately 15 days late in refilling the prescription. The patient, when asked if the medication is being taken as directed, says, "Yes, I always take it at breakfast, but many days I simply don't have time to eat before I leave for work." How should the pharmacy technician respond?
Ask the patient to speak with the pharmacist to clarify the prescription directions.
Diabetes is a long-term (chronic) illness that affects how your body converts food into energy. The majority of the food you consume is converted by your body into sugar (glucose), which is then released into your circulation. Your pancreas releases insulin when your blood sugar levels rise.
What causes diabetes primarily?Most kinds of diabetes lack a recognized precise etiology. Sugar builds up in the bloodstream in every situation. This occurs as a result of inadequate insulin production by the pancreas. Diabetes of either type 1 or type 2 may result from a mix of hereditary and environmental causes.
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Termination of the postsynaptic potential would be expected from a drug or process that acts to a. blocks transport of the neurotransmitter molecule through the axon membrane. b. enzymatically degrade the neurotransmitter molecule. c. increase the number of postsynaptic receptors. d. increase release of the neurotransmitter. e. increase synthesis of the neurotransmitter molecule.
Termination of the postsynaptic potential would be expected from a drug or process that acts to enzymatically degrade the neurotransmitter molecule.
The correct option is B.
Neurotransmitter molecules are promptly destroyed by enzymes in the synaptic cleft after release and attachment to postsynaptic receptors. They are also reabsorbed by presynaptic membrane receptors and recycled. High-affinity sodium-dependent GABA and glycine transporters take up GABA and glycine into nerve terminals and glial cells to reduce their effects on postsynaptic membrane receptors. High-affinity sodium-dependent GABA and glycine transporters take up GABA and glycine into nerve terminals and glial cells to reduce their effects on postsynaptic membrane receptors.
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