Your 60-year-old uncle has recently complained of shortness of breath and chest pains. He is undergoing an examination by his physician and has asked you to accompany him as his advocate. After the examination and a stress test, he received a summary of his visit and has asked you to help him remember and understand the results of the examination.
Part 1: Vital signs:
The nurse recorded a resting pulse of 105 bpm at the radial artery. Pulses were also recorded at the brachial, carotid, femoral, popliteal, and tibial arteries.
At which body regions/points was the pulse assessed?
How does this pulse compare to typical pulse?
Describe/explain in your own words 2 possible reasons for this pulse reading (get into some detail here).
The nurse recorded a resting blood pressure of 135/90 mmHg and the pulse pressure and mean arterial pressure are calculated on the summary.
Calculate the pulse pressure and mean arterial pressure that are indicated on the summary.

Answers

Answer 1

The  pulse should be assessed at Radial side of wrist.

What is normal pulse rate ?

The normal pulse rate of the person is ranges between 60-100 beats per minute. Generally lower heart rate implies more heart functions and better cardiovascular health. This implies for adults but an athlete normal resting heart rate is closer to 40 beats per minute.

* The pulse should be assessed at Radial side of wrist.

* The pulse rate of an adult ranges between 60-80 beats per minute. The heart beats of human beings are  called heart rate . To get an accurate reading put your finger at artery and count the pulses upto 60sec.

*Possible reasons for pulse reading are:

1) pulse rate indicates your heart rhythm

2) To measure the y the normal blood pressure

*  Generally the normal blood pressure is 120/ 80mmhg but more than this indicates hypertension and the pulse pressure of healthy person should be 40mm Hg ,more than this indicates unhealthy.

Pulse pressure = 135-90= 45mmHg.

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Related Questions

Harold’s friend, monique, was morbidly obese and had bariatric surgery to help his lose weight. What should harold know about this weight loss surgery?

Answers

Monique must know the actual procedure of surgery.During this surgery digestive system is changed and designed in such a manner that help to lose weight.

What is bariatric surgery?

In bariatric surgery the digestive system is designed that enhances digestion process and helps to reduce body weight.

Pain during bariatric surgery is depend upon the position of the body during surgery. At the incision site patient can feel the pain.

After bariatric surgery patient is restricted to eat foods like bread,rice, high-fat food as well as alcohol.

A person is suggested to get bariatric surgery if the BMI of the person is 40 or higher.Thus, during this condition bariatric surgery is performed.

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Which finding could be described as visibly dilated, superficial, and cutaneous small blood vessels found on the face and thighs?

Answers

Answer:

D. Telangiectasia

Explanation:

Full Question:

Which finding could be described as visibly dilated, superficial, and cutaneous small blood vessels found on the face and thighs?

A. Tenting

B. Angioma

C. Varicosity

D. Telangiectasia

The answer is D.

Hope this helps!

What are your greatest strengths?

Answers

Answer:

I'm good in school related stuff. I am resourceful. I am pretty good at forgiving. I am kind to everyone and I solve problems in a non violence way. I also am very good at making songs.

Explanation:

hope it helps

What makes us humans unique is our ability to adapt and learn. Man has always shown a remarkable ability to adjust to new circumstances, difficulties and technological advances.

We have cognitive abilities that enable us to think critically, work through challenging issues, and come up with new answers. Our capacity for empathy and emotional intelligence encourages deep connections and teamwork among people and societies. In addition, our zeal for discovery and curiosity has led to unprecedented discoveries and breakthroughs in many fields. We are one of the most adaptable and resourceful species on Earth because these characteristics combine to help us evolve and cope with challenges.

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Many factors contribute to the incontinence that is common among older adults. a major factor is increased:_____.

Answers

Many factors contribute to incontinence which is common among older adults. a major factor is increased age.

The inability to control urination, which can range from a minor loss of urine after laughing, sneezing, or coughing to a full inability to control pee is known as urinary incontinence. Urge incontinence is the inability to keep the pee in the bladder long enough to reach the bathroom when a person has an urgent need to urinate. People with diabetes, Alzheimer's disease, Parkinson's disease, multiple sclerosis, or stroke may experience difficulties with it.

With age comes an increase in urinary incontinence. The lower urinary tract alterations brought on by aging make elderly people more susceptible to UI. As we become older, our bladders' capacity and contractility decrease, making it harder to put off voiding when the need strikes.

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You have a pair of new sneakers. As you walk along the corridor, your foot catches. Immediately, your body responds and you are able to catch yourself before falling. Which reflex was executed?.

Answers

Crossed extensor reflex action prevents one from falling when your foot catches while walking.

Crossed extensor reflex:

A withdrawal reflex is the crossed extensor reflex. In the withdrawing limb, the extensors relax while the flexors contract, but in the other limb, the opposite happens. Contralateral means that the crossed extensor reflex takes place on the side of the body that is opposite from the stimulus. Afferent nerve fiber branches travel from the stimulated side of the body to the opposite side of the spinal cord to cause this response.They connect with interneurons there, which then stimulate or inhibit alpha motor neurons to the muscles of the opposing leg.

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Your client has a braden scale score of 17. which is the most appropriate nursing action?

Answers

Implement a turning schedule; the client has increased risk of skin breakdown.

What is braden scale score of 17?

Braden scale score of 17 shows that a client is at risk of developing an ulcerative injury.

The braden scale score is used by health personnel such as the nurses to assess the skin integrity of patients under their care.

The lower the number, the higher the risk is for developing an acquired ulcer or injury.

Therefore, a client that has braden scale score of 17 the most appropriate nursing action is to Implement a turning schedule to prevent the risk of skin breakdown.

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What is the first action you should take if you witness someone being verbally abused?

Answers

There are several ways to take actions to verbal abuse:

Ask them to refuse engaging emotionally. Set boundaries, don't engage with the abusive behavior, set consequences, and stick to them.Walk away if a boundary you set is crossed, or if you feel unsafe, leave. the place for some period.Talk to victim privately by setting a time aside, expressing your concern.Offer any assistance, an ear to listen when they need it.Getting someone else involved might result in victim, be more open, to recognize the abuse, since including more people to express concern or witnessing the abuse, adds more value to the concern.

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Explanation of those emerging issues in the mental health care arena that the policymakers address and those that are in need of policy advocacy and why?

Answers

Emerging issues in the mental health care arena that the policymakers address and those that are in need of policy advocacy are:

The struggle to find caregivers with the proper contracts for mental healthcare is a new problem in the field of mental health care (NAMI, 2017). The National Alliance on Mental Illness (NAMI) estimates that 50 percent of the 60 million adults and children in the United States who have a mental health diagnosis do not receive any treatment. Patients frequently have to seek treatment outside of their network, which increases their out-of-pocket expenses (NAMI, 2017).What is mental health?

Our emotional, psychological, and social well-being are all parts of our mental health. It influences our thoughts, emotions, and behaviors.

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According to Popple & Leighninger (2019), "advocates urge a number of improvements, changes, and protections, including effective grievance and appeal procedures; coverage of a full array of treatments and interventions, including community-based services such as housing programs and vocational training; greater use of outcome measures; parity or equality of insurance benefits for those with physical and for those with mental illness; and adequate attention to the needs of those with severe and chronic mental illness".

These make up many of the emerging issues in the mental health care arena that need to be addressed to best provide assistance and treatment to those with mental illness. A specific issue that needs policy advocacy discussed by Mental Health America is the fact that mental health conditions should be treated long before a crisis occurs and they gave the example that people do not wait years to treat things like cancer or diabetes, so why should mental health be any different? Early identification could help alleviate the vast amount of crises people with mental health conditions face. Another policy that needs to be addressed for advocacy for change is the Affordable Care Act (ACA). According to Daniels & Ritter (2018), there is a coverage gap associated with the ACA regulations. In 2012, the Supreme Court made the expansion of Medicaid to widen services that was optional to each state. With this, a lower reimbursement rate from Medicaid discourage community behavioural health services often leaving the only option of seeking care in the emergency rooms. Because of this "patients endure long stays in the emergency departments waiting on state sponsored beds leading to uncompensated care and increased tax payer burden" (Daniels & Ritter, 2018).

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What would be the recommended caloric intake for carol during the second and third trimester if her non-pregnant caloric requirement was 2000 kcals a day?

Answers

According to the BMI In the second trimester she would require 2340 calories and in third trimester she would require 2450 calories.

A woman's body mass index (BMI) prior to pregnancy, the rate at which she acquires weight, her age, and her appetite all play a role in how much food she needs throughout pregnancy.In general, pregnant women who were a healthy weight before getting pregnant require 2,200 to 2,900 calories per day. The greatest option is to gradually increase calories as the infant grows. Here is a summary of how calorie requirements alter throughout each trimester.

There are no extra calories needed during the first trimester.

340 more calories per day are advised throughout the second trimester. Thus, In the second trimester she would require 2340 calories.

The suggested amount of calories for the third trimester is 450 more per day than while not pregnant. Thus, he would require 2450 calories.

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Visit this website to check out how fake or genuine the product is. Then, think of an advertisement that influenced your decision to buy a certain product. If you cannot think of one, look through a magazine or a newspaper or go online to find an advertisement that “works” for you and could lead you to buy the product. Below, write how the advertisement affected your ideas about the product and your decision to buy it.

Answers

The advertisement that influenced my buying decision was the advertisement for iPhone 14. The advertisement focused on the benefits of the device and I couldn't help but to think about how much utility it would provide.

Of course, there was the cost to consider but that was far outweighed by the benefits sold to me.

What is an advert?

A employment, event, or product announcement made online, in print, on television, or on a poster is called an advertisement.

Findings have led to the conclusion that advertising plays a big part in influencing customers' purchasing decisions by grabbing their attention, piquing their interest, and inspiring a desire to acquire the items.

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A client has a managed care program that is organized on the basis of capitation. What is a characteristic of this client's health care?

Answers

A client has a managed care program that is organized on the basis of capitation. Client providers are paid the same amount earned is a characteristic of this client's health care

Capitation is a set sum of money per patient and per hour that is paid in advance to the doctor to cover the cost of providing medical care. The payment that a medical provider or health insurance company agrees to make under a capitated agreement is referred to as a capitation payment.

For each patient enrolled in a health insurance plan, the healthcare provider receives a fixed payment in US dollars each month. In contract negotiations with payers, the doctor has more negotiating power. Concerns about capitation include the possibility that it would: Incentivize enrolling many people, which might lead to greater wait times and shorter times for individual patient visits.

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Elevated blood levels of _____ may indicate a heart attack, brain tissue damage, or skeletal muscle injury.

Answers

Answer:

creatine kinase

Explanation:

Why is it so important to seal holes in the chest from penetrating trauma as early as possible?

Answers

It is so important to seal holes in the chest from penetrating trauma as early as possible in order to prevent air from entering the che- st cavity through a wound.

What is trauma?

Trauma can simply be defined as an emotional response to a terrible shock or event.

The trauma could be as a result of an acci-dent or natural dis- aster or upon hearing an unexpected situation or unforseen circumstances

So therefore, it is so important to seal holes in the chest from penetrating trauma as early as possible in order to prevent air from entering the chest cavity through a wound

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why do we need to protect our eyes​

Answers

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When we’re young we’re not very concerned about our vision, or why we should protect our eyes from the harmful light – but exposure can cause long-term damage.

Frequent exposure to sunlight makes us more likely to develop age-related macular degeneration earlier in life. It’s a common condition among elderly with typical symptoms being loss of central vision, making it hard to recognize faces, drive and read. Pterygium or ‘surfer’s eye’ is a growth of pink, fleshy tissue on the white of the eye and is a common eye condition that affects people who spend a lot of time with unprotected eyes in extremely bright environments, such as on the beach, close to water. The eyelids and the sensitive skin around the eyes are particularly prone to develop skin cancer.

So, instead of taking our vision for granted we should give our eyes the best possible chance of lasting a lifetime. The best way is to protect them from both hazardous UV rays as well as blue light.

‘Snow blindness’ is a very painful state that can occur after just 15 minutes of overexposure to UV-light, and comes from the sun burning the cornea. It happens quite commonly to people who don’t wear sunglasses, or use sun-glasses with insufficient protection in situations with very bright light exposure, such as high altitude, or on snow. Frequent exposure to UV light increases the risk of developing eye diseases and accelerates the development of cataract.

Chronic infection with ________ may progress to hepatic cancer. hcv hbv hev hav both hbv and hcv

Answers

Chronic infection with hcv may progress to hepatic cancer.

What are chronic infections?

Chronic infection is infections which usually and frequently last for three months or longer.

They involve the presence of pathogenic virus following the primary infection and may include chronic disease. Slow infection is characterized by a prolonged incubation period followed by progressive disease.

Examples of chronic infections are as follows:

Tuberculosis: An infectious disease of humans and animals caused by a species of mycobacterium, usually Mycobacterium tuberculosis, mainly infecting the lungs where it causes tubercles characterized by the expectoration of mucus and sputum, fever, weight loss, and chest pain, and transmitted through inhalation or ingestion of bacteria.

Nephritis: Inflammation of the kidney.

Cancer: A disease in which the cells of a tissue undergo uncontrolled (and often rapid) proliferation.

So therefore, chronic infection with hcv may progress to hepatic cancer. Option A

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What are the curses of blood pressure

Answers

Answer:

a diet of high in salt,fat and/or cholesterol. chronic conditions such as kidney and hormone problems, diabetes, and high cholesterol. family history especially if your parents or close relative have high blood pressure

Answer:

Hello! I think you meant to say causes. Here you go!

Explanation:

Smoking, Being overweight or obese, Lack of physical activity, Too much salt in the diet, Too much alcohol consumption, (more than 1 to 2 drinks per day), Stress, Older age, and Genetics are all causes of blood pressure.

When performing your nursing assessment, discuss what abnormalities would you expect to find and why?

Answers

The abnormalities one would expect to find when performing nursing assessment include changes in vital signs as well as level of consciousness which often indicate patient's deteriorating condition.

Assessment findings such as current vital signs, lab values, including conditions like decreased urine output,  changes in cardiac rhythm, pain level as well as mental status along with relevant medical history suggesting recommendations for care are handed over to the health care provider by the nurse.

The nursing assessment involves collecting information concerned with the patient's individual physiological, psychological, sociological, as well as spiritual needs.

The assessment points out current and future care needs of the patient which facilitates the development of a nursing diagnosis.

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Predict how a drug-free lifestyle will support the achievement of short- and long-term goals.

Answers

A quality of a person who abstains from drug usage or of a location where drugs are not used. equivalent: sober. without being impacted by a chemical (especially alcohol)

Long-term objectives could be:

a year of drug-free living

having friends that help repairing family relationships by organising regular get-togethers and are in good health and clean.

Short term objectives are :

This week, I'll see the doctor.

Three times this week, I'll go for a half-hour stroll.

I want to go two weeks without using any drugs.

What are benefits of drug free lifestyle ?

Your memory, focus, and mental clarity will all increase as a result of quitting alcohol and other drugs.

You'll probably start appearing younger and you might lose weight if you break a drug or alcohol use.You'll start sleeping like a baby again once you stop using drugs and alcohol, and you'll feel more rested when you wake up

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What effect might this situation most likely have on Noah?

Answers

I dont know there is no link

This mineral helps the muscles in our
bodies to contract, and also
strengthens our teeth and bones:
A. potassium
B. calcium
C. iron
4

Answers

The answer is b its the mineral that is strengthen our teeth and bones

When his pharyngeal tonsils become enlarged and cause an obstruction, bud has to have them surgically removed in a procedure called ___.

Answers

The kind of surgery that Bud has to undergo to ensure the removal of  his pharyngeal tonsils become which became enlarged and cause an obstruction is called tonsillectomy.

What is a surgical procedure?

In medicine, a surgical procedure is any procedure that involves the opening of the body of the patient. A surgery is performed by a qualified personnel. It is usually conducted under supervision.

Now, a surgical procedure that involves the removal of a given part of the body always has the ending "sectomy". Thus, we know that the kind of surgery that is spoke about s a kind of   "sectomy".

Hence, the kind of surgery that Bud has to undergo to ensure the removal of  his pharyngeal tonsils become which became enlarged and cause an obstruction is called tonsillectomy.

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A project conducted to re-verify the competencies and sub-competencies of a health educator is known as the:__________

Answers

A project conducted to re-verify the competencies and sub-competencies of a health educator is known as the Competencies Update Project (CUP)

What is Competencies Update Project (CUP)?The Nationwide Health Educator Competencies Update Project (CUP), a six-year multiphase national research study (1998-2004).It was created to further define and verify the function of advanced-level health educators in the United States as well as to re-verify the role of entry-level health educators.A hierarchical competency-based model with three levels of practice, seven Areas of Responsibility, and numerous new competencies and sub-competencies was created using the results of extensive quantitative data analyses in conjunction with ongoing professional judgment from a National CUP Advisory Committee. The CUP research's implications for applications will be examined, especially as they relate to professional development, accreditation, and preparedness. The American Association for Health Education, National Commission for Health Education Credentialing, and Society for Public Health Education all have shared ownership of the research findings.

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What are implications for massage for a client taking anti-infective medications?

Answers

Answer: The main concerns with giving a massage while a person has an infection are that we don’t want to spread that infection more, especially if the infection is more acute–and if their medications haven’t had time to really take effect, then that could be a contraindication for giving a massage.

Explanation:

Why is the drug actinomycin used only in research applications or in the treatment of cancer?

Answers

Actinomycin is used only in research applications or cancer treatment because it is active against both prokaryotic and eukaryotic cells.

How does actinomycin work?Actinomycin D inhibits RNA synthesis in both prokaryotic and eukaryotic cells thus blocking transcription.Actinomycin was first isolated from Streptomyces antibioticus.These bind to the DNA at the site of transcription initiation complex and prevent the activity of DNA dependent RNA polymerase.By blocking the metabolic machinery of cells (RNA synthesis), actinomycin prevents the growth of cells. Therefore used in cancer treatment to prevent uncontrolled proliferation of cells.As it can also act on eukaryotic cells so it is not used as an antimicrobial drug as it can harm the cells of our body.However it can be used in research to prevent microbial growth in petri plates.

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Infant mortality rates in the united states are unacceptable. what type of claim is this?

Answers

Infant mortality rates in the United States are unacceptable. this type of complaint is the lack of information about the financial condition of the country, the most developed in the world, where health is done to make a profit and not save people.

The United States has an infant mortality rate of 5.7 deaths/1,000 births (2018 est.)

What is the main cause of infant mortality?

The main causes of infant mortality include some conditions originating in the perinatal period, congenital malformations, infectious and parasitic diseases and diseases of the respiratory system, which together accounted for 88% of deaths in 2020 and 90% in 2019.

With this information, we can conclude that Infant mortality could be reduced by more than 70% with preventive measures such as sanitation, education, hygiene, breastfeeding and simple interventions.

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Which statements accurately reflect the recommendations for post–cardiac arrest neuroprognostication?

Answers

Statements that accurately reflect recommendations for post-cardiac arrest neuroprognosis are the Bedside Examination which includes clinical information such as hemodynamic status and sedation. Neurological assessment, in turn, should focus on the level of consciousness and trunk reflexes.

What are the sequelae after a cardiac arrest?

The main sequel in cases of cardiorespiratory arrest is brain injuries. This is because the brain cannot withstand the lack of oxygen (hypoxia) for more than five minutes. From that moment on, the patient may have serious, even irreversible, injuries.

With this information, we can conclude that From 10 minutes without oxygenation, the risk of brain death is very high. Neurological damage is the most common in people with cardiac arrest. Motor difficulties, speaking, walking and, in more serious cases, can even lead to a stay in a vegetative state.

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When you plan a nutritious meal, what is the order you should keep in mind? Why is this important to
keep in mind?

Answers

Answer:

just choose what looks yummy in the list.

and say "the low cost nutritious meals

provided in the unit are all affordable,

easy to access, and can help me maintain

good health. The meals I think I'm most

likely to eat are..." and then just choose

random meals

Which behavior can reduce ones risk of acquiring a sexually transmitted infection

Answers

Answer

abstinence

Explanation

sexual intercourse can be safe if practiced properly, using a condom can prevent stds. sexual intercouse without protection runs the risk for sexually transmitted diseases and other related health problems. abstinence is the only way to assure that you will not contract any of the above.

What region of the brain controls the muscles of the body that allow a person to walk down the stairs without having to really think about it?

Answers

Answer:

Cerebellum. This is the back of the brain. It coordinates voluntary muscle movements and helps to maintain posture, balance, and equilibrium.

What type of immunity develops when a host is inoculated with antibodies from an alternate host?

Answers

Inoculated adaptive immunity is a type of immunity that develops when a host is inoculated with antibodies from an alternate host.

What is adaptive immunity?

Adaptive immunity refers to the acquisition of a new immune response due to exposure to a pathogenic agent.

Adaptive immunity is generally due to the production of antibodies that bind to an antigen present in the pathogenic agent (e.g., bacteria, viruses, etc).

In conclusion, inoculated adaptive immunity is a type of immunity that develops when a host is inoculated with antibodies from an alternate host.

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