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VLD [36.1K]
4 years ago
5

Which is the first step in personal development

Health
2 answers:
Ghella [55]4 years ago
6 0
Physical and mental development
tester [92]4 years ago
4 0

The first step is to define your goals that are important to you.

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A complete patient assessment includes all of the following EXCEPT:
aliina [53]
Letter choice A is the answer
6 0
3 years ago
The nurse provides discharge instructions to the mother of a child following a myringotomy with insertion of tympanoplasty tubes
tigry1 [53]

Answer:

The answer to the question: Which statement by the mother indicates the need for further teaching, would be, 3. "My child can swim in the lake or pool as long as the water is not too deep."

Explanation:

Myringotomy with insertion of tymbanoplasty tubes is a surgical procedure in which, with the use of a myringotomy knife, the tympanic membrane is cut open with a small incision to allow fluid trapped in the middle ear to fow out. In order to allow further fluid to flow out of the ear, and for proper aireation of the site, small tubes known as tympanic tubes will be placed into the incision. Because of the very purpose of the procedure, and the reasons why it was done, having the mother of this child say that she may allow her child to swim in water, regardless of the depth of it, especially lake and pool water which are not sterile, shows that she does not understand the reasoning behind the procedure and must be further taught to prevent an infection to the ear and to prevent damage of the surgery.

4 0
3 years ago
A person’s blood volume (and blood pressure) can fluctuate based on intake of sodium and fluid, but is carefully regulated via s
lions [1.4K]

Answer:

The distribution of water in one or another compartment is due to forces that drive the movement of the liquid. These forces depend on the concentration of solutes (particles, molecules and ions dissolved in the water of a compartment) present in the compartments because the water moves to the compartment where the concentration of solutes is higher. This force that determines the movement of water is the osmotic pressure.

In organisms the most important electrolytes from the point of view of their concentration, therefore, of their osmotic effect, are the sodium and potassium ions. But they predominate in different compartments. Potassium is the most important electrolyte in the cell compartment while sodium is in the extracellular compartment. The concentration of these cations in the compartments indicated is expressed as a characteristic called osmolarity (number of osmoles per liter).

It follows from the foregoing that the control of volume homeostasis depends on the control of osmolarity.

The regulation of volume homeostasis then allows a normal circulatory and blood function condition that is vital for normal cell functioning. If a situation of hypovolemia (decrease in blood volume) occurs due to dehydration or blood loss, a series of physiological and behavioral mechanisms appear to correct the imbalance. Hypovolemia is detected by baroreceptors present in the sasnguine vessels (aotic arch, carotid sinus, afferent renal arterioles). The first to respond are those of the aortic arch and the carotid sinus which send signals to the nucleus of the solitary tract, located in the brainstem. Signals from this nucleus reach the hypothalamus and act on the supraoptic and paraventricular nuclei. These nuclei, which produce the hormone arginine-vasopressin (or vasopressin or antidiuretic hormone), increases its release. This hormone acts on the kidney causing an increase in water reabsorption, resulting in decreased urine flow.

Normal volemia is thirst. Hypovolemia not only represents a decrease in plasma volume but also an increase in the osmolarity of the extracellular compartment. A change in this parameter is a very efficient signal about thirst behavior, described as an intense motivation to seek, obtain and consume water. An increase in plasma osmolarity between 1-4% induces thirst behavior. The increase in osmolarity seems to act on specific cells sensitive to this type of stimuli, the osmorreceptors, which have been located in the vascular organ of the terminal lamina, in the anterior hypothalamus. Other hyperosmolarity sensitive neurons are located in the subfornical organ, in the medial preoptic nucleus and also in the magnocellular cells.

But also hypovolemia stimulates the secretion of renin by the kidneys. This enzyme causes the formation in the blood plasma of a substance, angiotensin I, which is transformable in another molecule, angiotensin II. This is a peptide that acts as a potent vasoconstrictor, but at the same time stimulates the secretion of aldosterone, a hormone from the adrenal cortex that also acts on the kidney. In this organ it causes the reabsorption of Na +, which passes to the plasma where it acts as a water retention factor, contributing, therefore, to the restoration and / or conservation of plasma volume.

In the case of hyperosmolarity, another strategy that the body uses in addition to drinking and water retention, is to eliminate excess Na +. This is achieved through the participation of other hormones such as atrial natriuretic factor, which is synthesized by the heart at the atrial level. This peptide is released by the mechanical stimulus that means the atrial distention and the actions on the kidney stimulating the loss of sodium chloride.

3 0
3 years ago
What action can help keep you safe when active on a hot and sunny day?
HACTEHA [7]

Answer:

Protect yourself from the sun by layering your clothing. Speed through your workout to minimize sun exposure. Remove your hat and sunglasses to keep your body cooler. Drink water throughout your workout to stay hydrated.

Explanation:

3 0
4 years ago
Read 2 more answers
A 5-day-old infant presents with a chief complaint of jaundice. As you obtain a careful history and physical examination, which
Lera25 [3.4K]

Answer:

D Phenylketonuria

Explanation:

Infant jaundice is caused by buildup of a compound bilirubin in infant's blood. It leads to yellowing of skin and eyes. There are several risk factors which should be kept in mind. People with east Asian or Mediterranean descent are at more risk of jaundice. Prolonged bruising during labor can lead to breakdown of more red blood cells hence production of more bilirubin again increasing jaundice risk. If mother's blood type is different from the child, the child might receive antibodies from the mother via placenta, hence breakdown of RBCs . Poor breastfeeding can also lead to improper development of baby making it more susceptible to jaundice.

Phenylketonuria is a metabolism error and leads to reduced metabolism of Phenylalanaine. It has got nothing to do with jaundice.

4 0
3 years ago
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