The nurse is preparing to administer a trivalent influenza vaccine (tiv) to a 70-year-old patient with chronic obstructive pulmo
nary disease (copd). while reviewing the patient's immunization record, the nurse notes that the patient received a pneumococcal polysaccharide vaccine (ppv23) 10 years prior. which action does the nurse take?
The nurse should provide TIV and then recommend to get a moment PPV23. Proof that a moment PPV23 is useful for forestalling pneumonia in patients with unending lung infection if over 5 years have gone since the underlying PPV23. The medical caretaker ought to propose this to the patient or the supplier. Directing the TIV and reminding the patient to get this yearly is right, yet the medical caretaker ought to suggest a moment PPV23 since this patient meets criteria for this sponsor. All patients more than 50 years and those with incessant lung sickness ought to get this season's cold virus antibody every year. Patients more than 50 years old can't get the live infection immunization.
The three examples of cycles of inorganic nutrients are Nitrogen, carbon and sulphur cycle.
Nitrogen is required to make amino acids and DNA in organisms. Carbon is the main component of glucose through which organism make energy, about 18 per-cent of the human body comprises carbon. Sulphur is an important constituent of some proteins, amino acids and enzyme cofactors.
Explanation:
The biogeochemical cycles like the nitrogen cycle are responsible for converting nitrogen into many chemical forms as nitrates, nitrites, ammonia. This process involves degrade decomposing animal and plant matter and naturally cleaning the environment also nitrites and nitrates become biofertilizers. The plants take nitrogen through their roots and in turn primary consumer in food chain ie. organisms consume the plant and eventually releases nitrogen as a waste material, dead and decaying body to the soil and cycle goes on.
In the carbon cycle the carbon is exchanged from the atmosphere to the organisms and then again to the environment. Plants perform photosynthesis by using carbon dioxide, primary consumer eats it and gets nutrition to perform cellular respiration, in turn, gets energy which gets dissipated and stored as biomass eventually in the course consumer die and replenish the soil with carbon. The Carbon emitted will keep cycling through air, water and soil.
The sulphur cycle involves the movement of sulphur between rocks, water and living beings and plants. Plants ( producers) absorb sulphur dissolved in water and animal consume these plants to replenish their sulphur requirement. And when organism die, sulphur enter the cycle again.
There will be a transfer of these inorganic nutrients to the trophic level in food chain.
Carbohydrates attached to lipids and to proteins extend from the outward facing surface to the membrane. The second factor that leads to fluidity is the nature of the phospholipids themselves
Answer:1. not enough natural ingredients like food and water, 2. the people your are surrounded in the environment, 3. the laws or rules that apply to living in gov./environment
Explanation:
1. maybe there aren't enough local stores in your area and you have to walk or drive miles just to get there, 2. maybe you have some connotation with people around you, or they themselves are setting good examples for you or your family, the community is too crowded, 3.maybe you want to leave a country because the system doesn't work for you, discrimination laws or a form of unfairness and mistreatment. maybe too intrusive.
