Examine the legs for color, capillary refill time, and tissue integrity when evaluating a client at risk for thrombosis.
Deep vein thrombosis is a condition when a blood clot (a thrombus) develops in a vein (DVT). This can dislodge and go into the bloodstream prior to reaching the lungs, where it can cause a pulmonary embolism (PE), a blockage in the pulmonary circulation that can be fatal.
In both primary and secondary care, nurses will be required to recognize and screen for deep vein thrombosis, therefore they must have the ability to evaluate the patient's clinical risk.
To utilize the Wells screening equipment properly, the leg must be extensively checked. Nurses ought to:
- Find any asymmetry or unilateral swelling, skin changes, wounds, oedema, erythema, or varicosities on both legs by keeping an eye out for them.
- Before palpating both legs, feel for heat with your hand over the suspected DVT location. Also feel for pain and any cracks in the skin.
- DVT symptoms can include deep venous system-specific pain.
- The difference in the calves' circumference is measured 10 cm below the tibial tuberosity.
- A DVT is the likely diagnosis if there is a discrepancy of more than 3 cm from the asymptomatic side.
- Check capillary refill time is between two and three seconds; this is a sign of peripheral perfusion by palpating the foot pulses.
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The intervention the nurse should include to prevent infection at the injection site is to change the needle every three days.
An insulin pump is a device that delivers continuous and customized doses of rapid-acting insulin matching the body's needs. It's mainly used for people that are suffering from diabetes, specifically those that don't like injections.
When using an insulin pump, there are several things that must be taken care of to make sure everything goes well for the client. One of them is changing the pump needle every three days to prevent infections at the injection site. When changing the needle, make sure the client uses sterile technique.
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Answer:
The statement is true.
Explanation:
The results of the investigations carried out in relation to the link between cortisol secretion and personality reveal differences in the reported evidence. Some of this research indicates that personality traits or disorders play a relevant role in individual differences in the endocrine response to cortisol, both in its basal levels and in the face of stressful stimuli.The relationship between antisocial personality and cortisol levels has been described in several investigations. Among the most reported neuroendocrinological abnormalities in antisocial men is a decrease in cortisol secretion levels. In this regard, Moss, Vanyukov and Martin conducted a case control study comparing cortisol secretion in stressful situations in children between 10 and 12 years of age at risk of presenting aggressive and abusive behavior in adolescence based on their family history. The groups were formed in relation to the presence or absence of a family history of aggression and substance abuse, specifically in the parents. The results found showed that children had a higher risk of antisocial behavior, if their parents had a history of substance abuse and violent behavior, they had lower levels of cortisol secretion in stressful situations than children in the control group whose parents did not present these behaviors negative. The researchers argue that these results could be indicating that a lower increase in cortisol levels in the face of stressful situations could be a biological marker of future antisocial adolescents. Likewise, a longitudinal study with 38 school-age children who had symptoms of aggressive behavior (clinically reported), who were assessed for the circadian rhythm of cortisol in saliva during the second and fourth years of schooling; reported the relationship between the decrease in HPA axis activity and the presence of severe and persistent aggressive behaviors.
The answer is POMR ( the problem oriented medical record)
Answer:
The correct answer is - Type 2 diabetes mellitus has major components: insulin resistance and impaired insulin secretion.
Explanation:
In type 2 diabetes there are two major components that play an important role to cause this that are Insulin resistance in which insulin could not bind with the specific receptors that result in less effective at stimulating glucose uptake.
The other major component is impaired insulin secretion in which an increased amount of insulin is required that there is not enough insulin to prevent the breakdown of fats and production of ketones.
