Ms. Steiner is a 23-year-old Caucasian teacher who has presented with symptoms of gastroesophageal reflux disease (GERD), diagnosed by an upper gastrointestinal study. She does not have any cell changes since the GERD is a new problem. She is currently a smoker and tends to drink socially while smoking on the weekends. Which risk factor presents the greatest risk for her in developing esophageal cancer at a later time?

the answer is D. pharm party

Answer:

cC

Explanation:

If Mr. Clark takes his first dose of acetaminophen at 0800 hours and it's to be given TID (three times a day), the second dose would typically be administered around 8 hours later, that is, 1600 hours.

The question asks when the second dose of acetaminophen would be given if Mr. Clark takes his first dose at 0800 hours and it's prescribed TID (three times a day). Prescriptions that require dosing three times a day are typically evenly distributed throughout waking hours. Therefore, this typically equates to approximately every 8 hours. If Mr. Clark takes his first dose at 0800 hours, the second dose of acetaminophen should be administered around 8 hours later which would be around 1600 hours. Hence, the answer is D. 1600 hours.

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If high blood pressure is not addressed, it can lead to major issues such renal disease, heart failure, blood vessel disease, and stroke. Completely inhale the pill. Do not chew, shatter, or crush it. This medication can be used with or without food.

After the first few doses of enalapril, patients receiving diuretic medication should be watched for signs of severe hypotension.

When a patient may experience extreme hypotension due to decreased fluid volume, heavy perspiration, dehydration, vomiting, or diarrhoea, it is important to regularly monitor them.

Therefore, dose, directions, side effects and do not change positions suddenly. is appropriate for the nurse to include in the client's teaching.

Learn more about discharge instructions here:

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Final answer:

When discharging a client prescribed Enalapril Maleate (Vasotec) for hypertension, the nurse must educate them on medication adherence, monitoring for side effects, the importance of follow-up, diet considerations including potassium levels, and appropriate aspirin therapy.

Explanation:

Enalapril Maleate (Vasotec) is an ACE inhibitor medication prescribed for blood pressure control. In educating a client for discharge, it's important to address medication adherence, potential side effects, and lifestyle modifications. Instructions should include taking the medication as prescribed, being aware of common side effects like cough or dizziness, and understanding the importance of follow-up appointments.

Advising on the need for a potassium-rich diet or potassium supplements if also taking diuretics like furosemide, which can lower potassium levels, is also essential. Lastly, the client should be informed about the importance of appropriate aspirin therapy and whether it is right for them in conjunction with enalapril and other cardiovascular prophylactic measures.

Home environment considerations, like avoiding substances that can elevate blood pressure, should also be discussed. Nurses should prioritize clients who are at high risk of medication-related harm by arranging enhanced support, such as post-discharge contact or follow-up visits. Recognizing and reporting any changes in health status, such as unusual fatigue or side effects, is crucial for preventing adverse events.