Answer: The next most appropriate step would be a LUMBAR PUNCTURE.
Explanation:
A LUMBAR PUNCTURE is a medical procedure that is usually carried out by a trained health personnel. It is a procedure that is carried out in the lumbar region of the spinal cord to access and obtain the cerebrospinal fluid which is used for further diagnosis of an underlying disease or illness.
A LUMBAR PUNCTURE is often adviced when the symptoms of a disease is related to the central nervous system. From the symptoms observed from the 19-year-old woman at the emergency department which includes:
--> generalized headache which is increasing in intensity,
--> blurred vision,
--> intermittent diplopia,
--> vague dizziness.
--> bilateral papilledema and
--> normal MRI of the brain.
Since the MRI of the brain is normal, the most appropriate step to be taken by the health care provider is a lumbar puncture which enables a direct access to the cerebrospinal fluid. This would help to rule out an elevated intracranial pressure which may be the cause of the generalized headache which is increasing in intensity.
Answer and Explanation:
1. To facilitate the examination and communication with Sara, it would be important to politely ask her mother to leave the room. This could make Sara more relaxed and allow her to feel more comfortable answering questions, as we can see that her mother's presence is bothering her. Then it would be important to tell Sara that everything that was said in the room would be confidential and no one besides her and the interviewer would know about anything she said, for this reason, she could speak without fear of suffering any reprisal or having the content of the conversation disseminated.
2. Sara may be facing issues related to her teenage insecurities. She is 14 years old and it is common for teenagers at this age to become irritable, moody and anxious. She may also be facing problems related to substance ingestion, hormonal imbalance, among others.
3. To resolve concerns about Sara, it is important that the interviewer establish a relationship of complicity, so that Sara can inform what she is feeling, what is causing this behavior and what kind of situations she is involved. It is also important that she undergo medical tests that show the hormonal level and substances present in her body.
It eliminates the risk of passing blood bourne pathogens and this is especially important in underdeveloped countries
If it isn’t taken within 72 hours of exposure it simply will not work
Answer:
True
Explanation:
Being overweight contributes to high blood pressure but the internal blood vessel length is smaller. The high blood pressure result is due to the obstruction of the vessels caused by the cholesterol accumulated in those vessels. If the cholesterol keeps obstructing the vessels, the heart must beat faster getting hypertrophyed, by the time the vessels should become bigger because of the hypertrophy os the muscle but the lumen will be always smaller.
