Institute of Medicine is the organization has been the national leader in promoting electronic health records to decrease medical errors and improve patient safety.
The Institute of Medicine (IOM) study "To Err is Human" issued in 1999 urged for a national initiative to make health care safer. Even though the report has indeed been generally credited with sparking initiatives to research and improve health-care safety, there has been no independent evaluation of its impact.
Following the release of the IOM report, the rate of patient safety publications jumped from 59 to 164 articles per 100,000 MEDLINE publications. All sorts of patient safety papers saw an increase in publication rates.
After the publication of the study, original research publications climbed from an average of 24 to 41 articles per 100,000 MEDLINE publications, while patient safety research grants jumped from 5 to 141 awards per 100,000 federally supported biomedical research awards. Prior to the IOM report, the most common topic of patient safety publications was malpractice, but organizational culture was the most common subject after the study's publication.
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Which health literacy factors will the nurse consider when developing a teaching plan for a 69-year-old homeless man with a grade school education diagnosed with prostate cancer
Homelessness, elementary school education, and patient age are the literacy factors related to health that the nurse should consider when designing a teaching plan who is suffering from prostate cancer.
Since the old man is homeless, he will have a difficult time understanding complex topics, so the nurse should try to simplify the teachings to make them easily understandable. The patient is also 69 years old and older people are less self capable and so the teaching plan should be such that there is less pressure on the patient for self-care. Also, if the patient is well educated or has recieved an elementary school education, then there will be a better understanding of prostate cancer and its effect and the patient will be able to manage his symtpoms more effectively. The nurse should provide maximum details in the simplest way possible for an effective teaching plan.
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As a nurse manager, you embrace the usefulness of resources such as Smart Bed. This behavior is important to:
This behavior is important to encouragement of staff utilization of technology.
Informatics, such as Smart Bed, improves care efficacy and efficiency. Early use of technology encourages staff members, particularly senior personnel who may be less familiar with technology, to appreciate its use in care delivery and administration.
Nurse managers are in charge of managing human and financial resources, as well as assuring patient and staff satisfaction, providing a safe environment for employees, patients, and visitors, maintaining standards and quality of care, and aligning the unit's goals with hospital's strategic goals. Nurse case managers advocate for solutions and services that will fulfil the requirements of the patient and family while encouraging excellent, cost-effective results for the assigned case types. They also plan employee training, promote professional growth, and create budgets. Quality-of-Care Requirements. Nurse leaders supervise nursing units, ensuring that nurses adhere to established rules and procedures that ensure patient safety and excellent care.
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As calorie intake increases (eat more), then metabolism __________. And as calorie intake decreases (eat less), then metabolism __________.
As calorie intake increases (eat more), then metabolism increases. And as calorie intake decreases (eat less), then metabolism decreases.
The quantity of calories ingested in the diet in relation to energy expenditure influences resting metabolic rate. Excessive energy consumption tends to raise resting metabolic rate, whereas fasting and extremely low calorie restriction appear to lower resting metabolic rate.
Calories ingested at night have no effect on your metabolism and do not count much more calories consumed throughout the day. Day illustrates that gaining and losing weight is a simple arithmetic problem. "Too many calories consumed vs insufficient calories burned on any given workday, regardless of time, will result in weight gain."
Regular exercise builds muscle growth and educates the body to burn kilojoules more quickly even while at rest. Dietary deficiencies, such as a lack of iodine, impair thyroid function and delay metabolism.
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A primary nurse receives prescriptions for a newly admitted client and has difficulty reading the healthcare provider's writing. Who should the nurse ask for clarification of this prescription
The healthcare provider who wrote the prescription should be called for clarification.
When a patient receiving intravenous vancomycin complains of ringing in both ears, what should the nurse do first?
Patients should discontinue taking vancomycin if they experience balance problems, hearing loss, or tinnitus in their ears. Ototoxicity brought on by vancomycin treatment may occasionally be irreversible.
Which move would the nurse make when preparing to administer a vancomycin infusion in order to prevent red man syndrome?
Red man syndrome can be avoided with the first dosage of vancomycin by giving patients diphenhydramine (1 g over 1 hour) prior to starting the infusion
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In the early days of Biden's administration, the cold death hand of government regulation stretched farther than it did under Obama.
Answer:
Yes, the Biden administration has implemented more government regulations and restrictions than the Obama administration. This includes stricter environmental regulations, higher taxes, and more stringent labor laws. Additionally, the Biden administration has also implemented a number of executive orders that have further increased the power of the federal government.
Explanation:
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Explain how random assignment would help establish cause and effect in this experiment.
Edgar is a psychologist interested in the effects of the presence of self-checkout counters on customer satisfaction. He convinces a large clothing company to consider adding self-checkout
counters to some of its stores. Edgar's hypothesis is that if self-checkout counters are introduced, customers will be more satisfied. He is proposing an experimental study to examine this belief
The only way to be certain about cause and effect is through an experimental research using random assignment. For instance, in a random assignment research, the experimental group is given the drug while the control group is not, in order to determine if a treatment results in patient cures.
Using randomization, such as by chance (e.g., flipping a coin) or a random number generator, random assignment or random placement is an experimental strategy for allocating human participants or animal subjects to various groups in an experiment (e.g., a treatment group against a control group).
By doing this, it is made sure that each participant or topic has a fair chance of being assigned to a group. By assigning participants at random, it is possible to prevent systematic disparities between and within groups from existing at the commencement of the experiment. As a result, it is safer to ascribe any differences between groups that are noted at the end of the trial to the methods or treatments used.
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A nurse manager has been employed in the same facility for 20 years and has held the same position. This career style is known as:
Holding the same position for 20 years implies that the nurse is stable and working as a Manager in the same facility. This type of career style is called a steady state. This high retention strategy is very effective for long-term employment.
A job that you anticipate staying employed for long in is one that is considered steady. The majority of jobs provide stable employment, but in the "global marketplace," more individuals are searching for project work, contract work, or temporary agency work.
When someone is said to "not be able to obtain permanent employment," the term is typically taken to be a criticism of the worker's or the economy's poor condition.
A "steady job" is one that is regularly scheduled and offers a respectable but not excessive wage. It is safe to work as well.
Similar labor is done in a "stable job," with the added benefit of continual employment. There aren't any unforeseen layoffs or labor disputes.
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the severe form of erythema multiform, which involves widespread lesions that may appear in the oral cavity and on the eyes, genitalia, thoracic and abdominal regions is known as
Answer: The answer to this question is Stevens-Johnson syndrome.
Explanation: Stevens–Johnson syndrome (SJS) is a type of severe skin reaction. Together with toxic epidermal necrolysis (TEN) and Stevens–Johnson/toxic epidermal necrolysis (SJS/TEN), it forms a spectrum of disease, with SJS being less severe. Erythema multiforme (EM) is generally considered a separate condition. Early symptoms of SJS include fever and flu-like symptoms. Stevens-Johnson syndrome (SJS) is a rare, serious disorder of the skin and mucous membranes.
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Select the correct answer. When beginning an exercise program, it is important to gradually increase intensity and duration. A. True B. False
Answer:
A
Explanation:
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A nurse is caring for a client who has a chest tube following a lobectomy. Which of the following items should the nurse keep easily accessible for the client?
A. Extra drainage system
B. Suture removal kit
C. Container of sterile water
D. Nonadherent pads
The nurse should keep option C: container of sterile water easily accessible for the client who has a chest tube following a lobectomy.
A container of sterile water from the nurse should be nearby and in the client's line of sight who has had a chest tube followed by lobectomy. If the tubing separates, the nurse should prepare to put the open end of the tube into the sterile water to avoid a pneumothorax. An operation to remove one of the lungs' lobes is known as a lobectomy. The lungs are divided into lobes. Three lobes make up the right lung. Two lobes make up the left lung. If a problem is only identified in a portion of the lung, a lobectomy may be performed. Thus, option C is the right choice.
A drainage system with three chambers, including a water seal, suction control, and drainage collection chamber, is a chest drain, often referred to as an under water sealed drain (UWSD). The purpose of UWSD is to prevent the backflow of air or fluid into the pleural space while still allowing air or fluid to be evacuated from the pleural cavity.
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Identify and describe practice barriers for all four APNs roles in Indiana and discuss these barriers on a state and national level. The four roles include the nurse midwife, nurse anesthetist, nurse practitioner and clinical nurse specialist.
Practice barriers for APNs in Indiana include lack of full practice authority, limited reimbursement, and lack of recognition by insurance companies.
These barriers can prevent APNs from providing care to patients to the fullest extent of their education and training. On a state level, Indiana has some restrictions on the practice of APNs, such as the requirement for collaboration or supervision by a physician. This can limit the ability of APNs to provide care in certain settings or to certain populations. Nationally, there is a lack of consistency in state regulations regarding APN practice, which can make it difficult for APNs to practice across state lines or for patients to access care when they travel. Additionally, reimbursement for APN services is often lower than that for physician services, which can discourage the use of APNs in healthcare settings. These barriers can make it more difficult for APNs to provide care to patients and make it harder for patients to access the care that they need.
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Nutrition, caregiver responsiveness, and learning opportunities are all __________ influences on maturation.
Nutrition, caregiver responsiveness, and learning opportunities are all environmental influences on maturation.
Nutrition, caregiver responsiveness, and learning opportunities are all examples of environmental factors that can influence a child's physical and cognitive development. They are not genetic or innate factors, but rather the external conditions and experiences that can shape a child's growth and maturation. Adequate nutrition, responsive caregiving and sufficient learning opportunities can facilitate child's growth, while the lack of them can hinder it.
If phenobarbital has a four day half-life, and a client accidentally took 200 mg of the drug on Tuesday morning, and no intervention occurred, how much medication will remain in the bloodstream of that client on Thursday morning?
Assuming client's metabolism and the other variables remain the constant, approximately 100 mg of the medication that will remain in the bloodstream on the Thursday morning.
Metabolism is the process by which the body converts food and drink into energy. During this process, calories from food and drink mix with oxygen to create the energy your body needs. Even at rest, your body needs energy to do anything. Metabolism is the totality of chemical reactions that sustain life in living organisms. The three main functions of metabolism are: Converting energy in food into energy that cellular processes can carry out. Metabolism has two categories for her:Catabolic and anabolic. Catabolism is the breakdown of organic matter, and anabolism uses energy to build cellular components such as proteins and nucleic acids.
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a patient with ulcers in the mouth is compalining of pain. How would the nurse most likely classify this pain
The nurse would most likely classify this pain as Deep pain.
Pain is a distressing sensory and emotional experience caused by either real or potential tissue injury. The skin and mucous membranes are the source of superficial discomfort. Deep discomfort originates in tissues under the skin. Skeletal muscles, ligaments, and joints cause somatic discomfort. Organs and smooth muscles cause visceral discomfort.
Pain pushes people to avoid dangerous circumstances, safeguard a wounded bodily part while it heals, and avoid similar experiences in the future. Most pain goes away once the noxious stimulus is withdrawn and the body heals, but it can last even after the stimulus is gone and the body appears to be healed. Pain can occur in the absence of any apparent stimuli, injury, or disease.
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Mrs. G. reports an increase in her alcohol intake over the past 5 years. To screen her for problem drinking, you would use the:
To screen her for problem drinking, you would use the CAGE questionnaire.
The CAGE questionnaire is a commonly used screening tool for problem drinking and prospective alcohol issues. Its name is an abbreviation for its four questions. The questionnaire takes less than a minute to conduct and is frequently used as a rapid screening tool in primary care or other broad settings rather than as an in-depth interview for persons with alcoholism.
The CAGE questionnaire is not intended for a specific group, but rather to identify people who drink excessively and require therapy. The CAGE questionnaire is trustworthy and valid; nevertheless, it is not valid for diagnosing other drug use disorders, despite the fact that slightly modified versions of the CAGE questionnaire have been widely used for this purpose.
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a 39 year old patient underwent a left femoral hernia repair. The postoperative diagnosis was recurrent left femoral hernia. What is the diagnosis code for this encounter
A femoral hernia typically develops near the top of the inner thigh when fatty tissue or a portion of the colon protrudes into the groin. Look for Hernia/femoral/recurrent in the ICD-10-CM Alphabetic Index. You're told to go to K41.91. Therefore, K41.91 will be the encounter's diagnosis code.
The femoral canal is when the femoral hernia pushes through a weak place in the abdominal wall, the surrounding muscular wall. Just below the groin, you could notice a bulge in the upper thigh. The majority of femoral hernias are symptomless. You can have some groin pain. When you stand, lift large objects, or exert yourself, it can get worse.
In order to communicate diseases, symptoms, aberrant findings, and other components of a patient's diagnosis in a fashion that is widely recognized by people in the medical and insurance industries, healthcare professionals employ the International Classification of Diseases (ICD) codes.
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A client is treated for increased intracranial pressure (ICP). It is important for the client to avoid hypothermia because
The client must avoid hypothermia because shivering in hypothermia can raise intracranial pressure.
What is hypothermia?Frostbite and hypothermia (abnormally low body temperature) are both dangerous conditions that can occur when a person is exposed to extremely cold temperatures.
Hypothermia in patients with traumatic brain injury (TBI) reduces cerebral metabolism and blood flow, lowering intracranial pressure (ICP). There have been numerous debates about the clinical effectiveness of prophylactic hypothermia.
What is the course of action for elevated ICP?Sedation, CSF draining, and osmotherapy with either mannitol or hypertonic saline should all be used in the medical management of elevated ICP. Barbiturate coma, hypothermia, or decompressive craniectomy should be taken into consideration for intracranial hypertension that is resistant to initial medical therapy.
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The complete question is -
A client is treated for increased intracranial pressure (ICP). It is important for the client to avoid hypothermia because:
During an interview, tears appear in the patient's eyes and his voice becomes shaky. Initially, you should:
When discussing infection prevention with a group of prenatal women, which interventions should the nurse emphasize to prevent toxoplasmosis in this population
Before eating, thoroughly cook the meat.
Throughout the pregnancy, have your significant other change the litter box. interventions should the nurse emphasize to prevent toxoplasmosis in this population
The protozoan infection toxoplasmosis is most frequently transferred via contact with raw meat, though it can also be acquired by handling cat feces in soil or cat litter. Mosquitoes primarily infect people with malaria in Africa and South America. Malaria is reduced with the use of insect repellent. By using condoms, sexually transmitted illnesses can be avoided. Keeping away from large gatherings of young children in childcare centers helps reduce exposure to CMV.
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After a person experiences a closure of the epiphyses, which statement is true?
After a person experiences a closure of epiphyses, true statement is No further increase in bone length occurred. After the ends of the bones closure, the bone length cannot be increased any further.
What is the cause of premature closure of the epiphyseal plate?Premature closure of the ends is usually due to cartilage injury. Rarely, vitamin A derivatives are known to cause premature bone closure
What happens when epiphyseal plates close?As children grow, the growth plates turn into strong bones. A solid growth plate entirely made of solid bone is a self-contained growth plate. After the growth plate closes, the bone stops growing. Hormone Estrogen accelerates bone head fusion and suppresses longitudinal bone growth.
What factors affect bone end closure?Important predisposing factors include the ability to differentiate chondrocytes, multiple molecular pathways operating in the growth plate, and axis I activation of insulin-like growth hormone-like growth factor and expression fusion. tissues by estrogen and its receptors.
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the home health nurse is developing a treatment care plan for an elderly retired client with Medicare insurance. What factor will the nurse take into
The home health nurse is developing a treatment care plan for an elderly retired client with Medicare insurance. The nurse will under take the factor that the treatments are often covered by publicly financed health care plans if the practitioner orders them.
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 programme in the United States.
In most cases, you only need to register for Parts A and B once. You have a choice every year regarding how you obtain health insurance (and add or switch drug coverage). Medicare is distinct from private insurance because it doesn't provide couples' or family plans.
As determined by Money Geek's scoring methodology, the best Medicare Advantage plans are Blue Cross Blue Shield for preferred provider organisations and United Healthcare for health maintenance organisations.
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Places where there is an elevated chance of being the victim of crime are known as: A. Hot targets B. Hot spots C. Suitable targets D. Chronic spots
The places where there is an elevated chance of being the victim of crime are known as hotspots, which means option B is the right answer.
Crime refers to the intentional act of doing something which is against the law. Major criminals are born between the age of 15 to 20 years because of the hormonal rush which are undergoing as a result of natural process and the unlawful environment to which they are exposed. Hot spot analysis helps police identify high-crime areas, types of crime being committed, and the best way to respond. Hotspots of crime are the areas where there are high chances of multiple criminal acts. It is necessary to identify them so as to control such activities and protect the citizens.
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Aldosterone inhibitors are prescribed to patients with advanced heart failure. A common side effect of these drugs is __________.
Reform movements that focused on providing a relaxing place where patients would be treated with dignity and care were pursing the idea of _____ treatment.
Reform movements that focused on providing a relaxing place where patients would be treated with dignity and care were pursing the idea of moral treatment.
In Europe, reform initiatives in favor's of moral treatment arose to establish a relaxing environment where patients would've been treated with respect and compassion. Philippe, a Frenchman, was the first to do it in 1783.
The moral treatment movement was brought to the United States through mental health practitioners who had either studied or visited Europe and were familiar with moral treatment ideas. A reform movement, often known as reformism, is a sort of social movement that strives to bring a social or political system closer to the ideal of the community. A reform movement differs from more extreme social movements, such as revolutionary movements, in that the principles are frequently based on liberalism, however they may be based on socialist (particularly, social democratic) or religious conceptions.
The work of William Rush Dunton Jr. exemplifies the effect of moral therapeutic concepts just on founders, resulting in the early development of occupational therapy. Dunton researched the treatment tactics of a moral treatment movement's founders, Pinel and Tuke, and was interested in developing comparable program that included a controlled environment and vocations such as crafts and arts.
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The nurse is developing a plan for psychoeducational sessions for a small group of adults diagnosed with schizophrenia. Which goal is best for this group
Demonstrate improved social skills, Improved social skills help patients maintain relationships with others.
What is schizophrenia?A severe mental illness called schizophrenia causes people to have aberrant perceptions of reality. The symptoms of schizophrenia may include hallucinations, delusions, and incredibly abnormal thought and behavior that make it difficult to go about daily activities and can even be incapacitating. Schizophrenia sufferers need ongoing care. Although the precise origin of schizophrenia is unknown, a mix of genetics, environment, and altered brain chemistry and structure may contribute.Decreased participation in daily activities, disordered speech or behavior, and ideas or sensations that seem disconnected from reality are all symptoms of schizophrenia. Also possible are issues with memory and focus.A combination of drugs, psychotherapy, and well-coordinated specialty care services are frequently used in the course of treatment, which is typically lifelong.To learn more about schizophrenia refer to:
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if you are studying, using this type of memory, you would be replicating all of the content that is around you. which form of memory is being used?
regard placenta previa which of the following is true:
1. placenta previa can't be diagnosed by ultrasound
2. majority of low lying placenta at 20 week will remain so at term
3. the patient should be routinely managed as in patient with delay of delivery until the onset of labor
4. complication of placenta previa include need for cesarean, bleeding, accrete
(3&4) Patient should be routinely managed as in patient with delay of delivery until the onset of labor and complication of placenta previa include need for cesarean, bleeding, accrete are the truth regard placenta previa.
what is placenta previa?A prior delivery, being older than 35, and having a medical history that includes past surgeries like a caesarean section or uterine fibroid removal are all risk factors for placenta praevia.
The main sign occurs in the second half of pregnancy and is bright crimson vaginal bleeding without pain. Severe bleeding before or during delivery is another complication of the disease.
what is cesarean?The surgical operation known as a caesarean section, sometimes referred to as a C-section or caesarean delivery, involves delivering one or more babies through an incision made in the mother's belly. This procedure is frequently used when vaginal birth would endanger the mother or the baby.
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As part of your health promotion education for a new patient, you explain that the risk factors for skin cancer include:
Answer:
use search engine and you'll find your answers
As part of your health promotion education for a new patient, you explain that the risk factors for skin cancer include:
1. Exposure to Ultraviolet (UV) Radiation: Prolonged exposure to UV radiation from the sun or artificial sources, such as tanning beds, increases the risk of developing skin cancer. Unprotected and excessive sun exposure over time can damage the DNA in skin cells, leading to mutations and the development of cancerous cells.
2. Fair Skin and Light Eye/Hair Color: People with fair skin, light-colored eyes (such as blue or green), and light-colored hair (such as blonde or red) have less melanin, the pigment that provides some protection against UV radiation. As a result, they are more susceptible to the harmful effects of UV radiation and have a higher risk of developing skin cancer.
3. History of Sunburns: Experiencing multiple severe sunburns, especially during childhood or adolescence, increases the risk of developing skin cancer later in life. Sunburns indicate overexposure to UV radiation, which can lead to DNA damage and an increased likelihood of cancer formation.
4. Family History: Having a family history of skin cancer, particularly melanoma, increases the risk of developing the disease. Genetic factors can contribute to a person's susceptibility to skin cancer, so it is important to be aware of any family history of the disease.
5. Personal History of Skin Cancer: Individuals who have previously been diagnosed with skin cancer have an increased risk of developing new skin cancers. It is important for individuals with a history of skin cancer to have regular check-ups and follow-up appointments to monitor for any new or recurring lesions.
6. Weakened Immune System: A weakened immune system, such as in individuals with organ transplants, certain autoimmune conditions, or HIV/AIDS, can increase the risk of developing skin cancer. A properly functioning immune system helps detect and eliminate cancerous cells, so a weakened immune response can allow cancer to develop more easily.
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Jane had two chest CTs this year at 7 mSv each. Simply living on Earth exposed her to 3 mSv. The maximum radiation exposure for health professionals is 50 mSv per year. How much radiation has Jane been exposed to this year
The maximum radiation exposure for health professionals is 50 mSv per year, so Jane has been exposed to 17 mSv this year.
A chest CT checkup can find signs of inflammation, infection, injury or complaint of the lungs, breathing passages( bronchi), heart, major blood vessels, lymph bumps, and esophagus. The complete checkup takes 30 seconds to a many twinkles. Certain CT reviews bear a special color, called discrepancy, to be delivered into the body before the test thresholds. Differ highlights specific areas inside the body and creates a clearer image.
Ionizing radiation is farther distributed into electromagnetic radiation and particulate radiation. Electromagnetic radiation consists of photons, which can be allowed of as energy packets, traveling in the form of a surge.
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Mrs. Webb is a 38-year-old patient who has been changing her lifestyle to eat in a healthy way and lose weight. During your health promotion education regarding her nutritional status, you explain the function of dietary protein as:
Protein is an essential nutrient that is necessary for a number of bodily functions. It is necessary for building and maintaining tissues, such as muscles, organs, bones, skin, and blood.
Protein is composed of smaller molecules called amino acids, which are the building blocks of life. Amino acids are responsible for a number of bodily functions, including development, growth, repair, and maintenance.
When dietary protein is consumed, it is broken down in the stomach and small intestine into individual amino acids. After that, the bloodstream carries these amino acids to the body's cells for use. The body then uses the amino acids to create new proteins, which are used to build and maintain tissues.
Protein also plays an important role in other bodily functions, such as metabolism, energy production, and hormone regulation. In addition, proteins are necessary for the production of enzymes, hormones, and other substances, which are important for the proper functioning of the body.
By consuming a diet high in protein, Mrs. Webb can ensure that her body is receiving the necessary building blocks for the creation and maintenance of healthy tissues. Eating a diet rich in protein can also help her body to maintain its energy levels, regulate hormones, and carry out other important functions.
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