Answer:
The correct answer will be option B.
Explanation:
Blood pressure represents the pressure of the blood in the major arteries of the body.
This blood pressure increases in the arteries when the ventricle contracts to push the blood to the major artery by a mechanism called ventricular systole. This increased blood pressure number is known as systolic blood pressure which is usually 180 mm of Hg.
The blood pressure decrease in the artery due to ventricular diastole during which ventricles relaxes. This lower number of blood pressure is known as diastolic blood pressure which is 80 mm of Hg.
Thus, option B is the correct answer.
The nurse administers cimetidine to a 75-year-old client diagnosed with a Gastric ulcer the nurse should monitor the client for the following adverse reactions Headache, Sleepiness, Confusion, Dizziness, Nausea which contribute for the change in Metal status.
- Cimetidine is a H
Receptor Antagonist. - Gastric partial cells contains receptors for Histamine.
- Histamine is released from the Enterochromaffin cells upon the stimulation from food intake or from Vagus nerve stimulation.
- Thus Histamine released from Enterochromaffin cells binds to H receptors on the parietal cells and increases the secretion of HCl.
- Cimetidine has totally opposite effect and decreases the secretion of HCl from the parietal cells.
- Not only on gastric cells H receptors are also present in CNS where they stimulate brain cells.
- The above point justifies the adverse effects of Cimetidine.
- Patients over the age of 50 or those who are severely ill may experience transient confusion while taking H
blockers, particularly cimetidine.
Hence from these points we can conclude that patients who are above 50 years and receiving Cimetidine medication for gastric ulcer should be monitored for the above mentioned adverse reactions.
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The acidic urinary pH increases the formation of uric acid or cysteine crystals. Therefore, kidney stones are very much influenced by urinary pH. More acidic urine and a higher frequency of uric acid stones have been associated with patients with inadequate ammonium excretion of metabolic syndrome.
Kidney stone disease results from deficiencies in urinary acidification, which result in the excretion of improperly alkaline or acidic urines, respectively. Patients with uncommon mendelian kidney stone variants have mutations in several enzymes, transporters, receptors, or channels. Numerous of these alterations either result in an increase in the excretion of chemicals that can crystallise or stone, a change in the composition of the urine that promotes crystal formation, or both.
Kidney stones can occur as a result of a variety of variables
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The nurse has given a client with a leg cast instructions on cast care at home. the nurse determines that the client needs further instruction if the client makes<u> Keep the cast clean and dry ,Allow the cast 24 to 72 hours to dry, Keep the cast and extremity elevated.</u>
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Avoid setting powder, lotion or deodorant on or close to the cast. depart modifications to your toddler's physician. do not pull the padding out of your child's solid. don't trim the forged or damage off hard edges with out first asking your infant's doctor.
If it's far your Leg, take a few huge pillows including your big sofa or chair cushion and place it to your bed. Lie flat on your returned and feature the leg propped up on the pillow. preserve including the pillows until your leg is at the least 10cm (over 1.25 inches) above your coronary heart degree.
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If you are in a leg solid (specifically an above knee solid), it could be useful to have a stool or leg relaxation in in the front of the rest room to relaxation the injured leg on whilst toileting. Hip spica casts have their own demanding situations. Double nappies are an amazing tip.
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