When preparing a multigravid client who has undergone evacuation of a hydatidiform mole for discharge, the nurse explains the need for follow-up care and the client is said to understand it when she says that she is at risk for developing choriocarcinoma.
<h3>What is Choriocarcinoma?</h3>
This is defined as a medical condition which is characterized by a fast-growing cancer that occurs in a woman's uterus. This type of cancer affects the placenta in most situations and it is the organ which supplies food and other nutrients from the woman to the fetus.
In a situation where the individual had hydatidiform mole which is the abnormal growth of trophoblasts which are tissues which form the placenta then there is a likelihood of her having choriocarcinoma in this scenario.
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Answer:
The best answer from the choices, to the question: The cause of the hyperventilation is described by which of the following statement:___, would be, B: A decrease in the bicarbonate concentration stimulates ventilation.
Explanation:
The acid-base balance in the human body, is a very restrictive one. Normal ranges in this base are: 7.35 to 7.45. Whenever the values go either below 7.35 or above 7.45, we are talking about a person going into acidosis or alkalosis. Both situations are pretty serious and they have to do with the balance between the amounts of bicarbonate, and CO2 in the form of carbonic acid, in the blood. The normal ratio of bicarbonate to carbonic acid, is usually 20:1. Chemoreceptors, especially central ones in the neck, measure constantly that the balance is kept and if this is not the case, then several mechanisms will be put into place to recover it. One such measure is respiratory, and the other is metabolic. In the case of this 17-year-old, he has a pneumonia, which means that from the start, one of his recovery mechanisms is impeded, which is the respiratory mechanism of balance. He is also having metabolic problems with his system of compensation because his body is already producing high levels of H+ ions and not enough bicarbonate. Hyperventilation in this person is attempting to expel as much CO2 as possible, to try and restore the balance. The first thing that is sensed by the receptors is the changing in the 20:1 ratio, the increase in pH due to too much carbonic acid, and thus the body initiates the use of CO2 expulsion by the lungs, while metabolic mechanisms come into play.
Most important nursing intervention after laryngectomy is that after surgery, your voice may return to normal but you will sound hoarse.
Since the false cords are removed during a supraglottic partial laryngectomy, patients may recover from surgery with a normal or raspy voice. A total laryngectomy patient won't have a natural voice. A laryngo-fissure patient will have a normal voice. A hemilaryngectomy patient will have hoarse voice. Thus, the patient after a total laryngectomy will have a hoarse voice.
The larynx can be removed in whole or in part through a laryngectomy (voice box). It entails making an incision (cut) over the Adam's apple region on the outside of the neck. Partial laryngectomy: In order to treat some laryngeal malignancies, only a portion of the voice box needs to be removed.
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