Which complications, along with edema in the ankles, does the nurse expect in a patient with chronic obstructive pulmonary disease (copd)? select all that apply?

Answers

Answer 1
There are choices for this question namely:

Leukopenia
Weight gain 
Polycythemia 
Hepatomegaly 
Jugular vein distension

The correct answers are "weight gain", "hepatomegaly" and "jugular vein distension". Along with bipedal edema, these signs are associated with the complication of COPD which is called cor pulmonale. Cor pulmonale is a kind of right sided heart failure wherein blood pools to the systemic circulation because the right side of the heart cannot overcome the pulmonary vascular resistance brought about the COPD. Pooling of blood in the systemic circulation causes bipedal edema, hepatomegaly (cardiac cirrhosis; congestion of the liver), weight gain (increased interstitial fluid volume), and jugular vein distension. 

Related Questions

How is meiosis different from mitosis? Meiosis begins with only one cell. Meiosis produces four new cells. Meiosis is a form of cell reproduction. Meiosis is a cycle of cell division. Description

Answers

its process results in four daughter cells that are haploid, which means they contain half the number of chromosomes of the diploid parent cell. Meiosis has both similarities to and differences from mitosis, which is a cell division process in which a parent cell produces two identical daughter cells.....

Answer:

Meiosis produces four new cells.

Explanation:

Both mitosis and meiosis are processes about the production of new cells. The main difference between these two concepts is that meiosis produces 4 new cells and they are all different from each other. Unlike the Mitosis process that produces two new cells identical to the parent cell.

I hope this answer helps you.

You disrupt all hydrogen bonds in a protein. what level of structure will be preserved?

Answers

I believe the primary structure will be preserved. The secondary level of proteins is defined by patterns of hydrogen bonds between the main chain peptide groups. Therefore distorting the Hydrogen bonds disrupts the secondary structures. The primary structure on the other hand is not affected by disruption of the hydrogen bond since these structures refers to the sequences of amino acids in the polypeptide chains that are joined by the peptide bonds.  

If all hydrogen bonds in a protein are disrupted, the primary structure of the protein will remain intact.

How to explain the structure

The primary structure refers to the linear sequence of amino acids in the polypeptide chain, which is determined by the genetic code.

The secondary structure of a protein is formed by regular repeating patterns such as α-helices and β-sheets, which are stabilized by hydrogen bonds between nearby amino acids. Disrupting hydrogen bonds would cause the secondary structure elements to unfold or lose their characteristic shapes.

The tertiary structure is the three-dimensional arrangement of a protein's polypeptide chain.

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What economic method is often used to guide policy makers in making pollution regulations?

A) determining point of diminishing returns
B) supply-demand analysis
C) cost-benefit analysis

Answers

Hello,

Here is your answer:

The proper answer to this question is option A "determining point of diminishing returns"! That because the government uses that to get taxes back!

Your answer is A!

If you need any ore help feel free to ask me!

Hope this helps!

Answer:

Option A, determining point of diminishing returns

Explanation:

According to the law of diminishing returns, when in any business the profit increases marginally while the cost of input increases at a fast rate then a business is said as "not an effective business"

In case of regulations regarding pollution, it is very essential for the economist to determine whether the cost incurred in order to take measures to reduce pollution in any business is much higher than the profit gained, then such business are not profitable and hence specific measures should be taken to curb these issue through policy regulation.

Hence, option A is correct.

Patients with chronic pain may be more sensitive to pain and other stimuli true or false

Answers

It is true that Patients with chronic pain are likely to be more sensitive to pain as well as other stimuli. Unrelieved pain has several physical as well as psychological consequences. Some of these consequences are outlined below.

·         Increased HR, PVR, CO, Myocardial O2 consumption

·         Reduced tidal volume and cough

·         Impaired cognitive function

·         Pain Characteristics

·         Muscle spasm as well as rigidity

This is true as patients that are in chronic pain are sensitive to acute recurrences of pain whether in the same body part or in different areas of the body. While pain is considered a sensation, and sensations are desensitized after prolonged exposure; the opposite is true for pain as people suffereing from chronic pain becomes more sensitive to pain.

This principle is adapted from the 9 core principles of pain assessment (Lewis's Medical-Surgical Nursing, 2017)
1. Patients have the right to appropriate assessment and management of pain.
2. Pain is always subjective
3. Physiologic and behavioral signs of pain are not sensitive or specific for pain
4. Pain is an unpleasant sensory and emotional experience.
5. Assessment approaches, including tools, must be appropriate for the patient population.
6. Pain can exist even when no physical cause can be found
7. Different patients experience different levels of pain in response to comparable stimuli.
8. Patients with chronic pain may be more sensitive to pain and other stimuli
9. Unrelieved pain has adverse physical and psychologic consequences. Acute pain that is not adequately controlled can result in physiologic changes that increase the likelihood of developing persistent pain.

Coactivation of alpha and gamma motoneurons is stimulated by ______________ neurons.

Answers

Answer:

sensory neurones.

sensory neurones simulated by alpha and gamma

The stage of mitosis depicted in the image is

A) anaphase
B) interphase
C) prophase
D) telophase

Answers

C. Prophase

because I just got it right. On usatestprep 8D

Mitosis is the cell division in which cells divide to form two cells. The given image dipicts the prophase of mitosis.

Mitosis:

It is the cell division in which cells divide to form two cells. It consists of four phases,

Prophase:

The DNA is condensed to form chromosomes.The nuclear membrane degenerates.

Therefore, the given image depicts the prophase of mitosis.

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The nurse is caring for an older orthodox jewish client whose condition is terminal. the nurse is implementing a plan of care and wishes to communicate this plan with the family and client. the nurse should be aware of which end-of-life religious practices when planning and communicating with the client and family? select all that apply.

Answers

For an orthodox Jewish client being treated for a terminal condition, the nurse should be aware of the following:
1. Their may be a high level of outward expression of anxiety. This is common among orthodox Jews, especially the older ones
2. Although Orthodox Jews are very strict as regards observance of religious laws, religious laws are suspended during times of severe illness.
3. Family members, who are of the opposite sex, may not shake hands or make eye contact with the client.

Which features are associated with divergent boundaries?
folded mountains at ocean trenches
volcanic island arcs
mountain chains at ocean ridges
non-boundary mountains

Answers

The answer is : Mountain chains at ocean ridges

- I'm pretty sure >

Answer:

Mountain chains at ocean ridges

Explanation:

How does radiometric dating help scientists pinpoint the age of a fossil?

In radiometric dating, scientists place samples of a fossil in certain liquids until the samples dissolve. The rate at which they dissolve indicates the age of the fossil.

In radiometric dating, scientists mix the carbon in a fossil with carbon from similar fossils whose age they know. By comparing the carbon, they can tell the exact age of the fossil.

Radiometric dating allows scientists to find fossils in only the lowest and oldest layers of sediment.

Radiometric dating shows the rate of decay of radioactive material present in any object. Scientists can use that data to find the absolute age of the fossil.

Answers

ANSWER: Radiometric dating shows the rate of decay of radioactive material present in any objects. Scientists can use that data to find the absolute age of the fossil. 

The radioactive carbon method is a method used to determine the age of the fossil based on the ratio of the number of atoms of stable carbon isotope 12C and the radioactive isotope 14C. During their lifetime, plants or animals exchange carbon with their environment, so the carbon-containing it will have the same percentage of 14C as well as the atmosphere. When a plant or animal dies, it ceases to collect 14C, but 14C within its biological material at that moment will continue to decompose. So, the ratio of 14C and 12C in residues will gradually decrease. Since the rate at which the 14C decay is known, the percentage of radiocarbon can be used to determine the time period that has passed since the sample was given to stop exchanging carbon with the environment (older sample - less 14C).

Answer:

D.  Radiometric dating shows the rate of decay of radioactive material present in any object.  Scientists can use that data to find the absolute age of the fossil.

Explanation:

I just took the test and got 100%!!!

The onset of puberty in humans is a gradual process occurring over a few years. Which of the following controls the onset of puberty?

A) The nervous system
B) The endocrine system
C) The integumentary system
D) The excretory system

Answers

Your answer is B, the endocrine system. Hope this helps!

From these data, you propose a model of how s. aureus changes from a harmless bacterium on the skin to a serious pathogen inside a wound. arrange the steps in order to complete your model. not all labels will be used. see hint 1 for help getting started. hints

Answers

Final answer:

S. aureus transitions from being harmless bacteria on the skin to a serious pathogen following skin breaches, as in a wound or from nasal passages via hands. In the body, the bacteria can cause infection, form biofilms on foreign objects, interfere with immune response via virulence factors and excite symptoms by producing toxins.

Explanation:

Staphylococcus aureus, commonly known as S. aureus, can transition from being harmless bacteria on the skin to a serious pathogen inside a wound following a series of processes. Here is the most likely sequence of events:

S. aureus is usually present on healthy skin and nasal passages without causing disease. It is easily spread through skin-to-skin contact or from the nose to the hands, and from there to other surfaces or individuals. If the skin is broken, for example by a cut or wound, S. aureus can gain entry into the body where it may cause an infection. This is particularly a problem in hospital settings where there may be a higher prevalence of antibiotic-resistant strains of the bacteria, such as methicillin-resistant Staphylococcus aureus (MRSA). The bacteria may form a biofilm on the surface of foreign objects inserted into the body, such as a catheter. From there, the bacteria can be shed into circulation, leading to symptoms of infection. The bacteria's virulence factors, such as leukocidin and hemolysins, can interfere with the immune response. Production of toxins, like enterotoxins and toxic shock syndrome toxin (TSST), can further exacerbate symptoms, potentially leading to toxic shock.

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In prokaryotes, functionally related genes are usually clustered in a single operon. what has been found to be the case in eukaryotes?

Answers

Genes in eukaryotes are dispersed and not clustered onto a single operon

Final answer:

In prokaryotes, gene regulation is often coordinated through operons, such as the lac operon for lactose utilization in E. coli. In eukaryotes, genes are not typically organized into operons and exhibit more complex regulatory mechanisms, including transcriptional and post-transcriptional control.

Explanation:

In prokaryotes, functionally related genes are typically clustered together in a unit called an operon. An operon consists of genes grouped with a single promoter and often with an operator site where regulatory proteins can bind to influence gene expression. This system allows for coordinated transcription of genes that encode proteins for a specific function or that are involved in the same biochemical pathway, such as the lac operon in E. coli for the utilization of lactose.

In contrast, eukaryotes generally do not organize their genes into operons. However, there are some gene clusters in eukaryotes that exhibit similar regulatory mechanisms. The regulation of gene expression in eukaryotes is much more complex, often involving multiple levels of control, including transcriptional and post-transcriptional mechanisms. Although not organized in operons, understanding prokaryotic gene regulation provides valuable models for learning about gene expression and its dysregulation, which can lead to diseases such as cancer.

In his recollection of the incident why did Winston go to a tube station with his family

Answers

The answer is that in 1984, Winston has several memories of his childhood. Winston remembers his mother and little sister. In this way, Orwell tells the reader about life in Oceania years before. Winston's memories are important backstory to Oceania. Winston has several memories in the morning as he is doing his morning exercises.

A nurse observes a window washer falling 25 feet (7.6 m) to the ground. the nurse rushes to the scene and determines that the person is in cardiopulmonary arrest. what should the nurse do first?

Answers

The first thing that the nurse should do is TO START CHEST COMPRESSION.
Cardiopulmonary arrest refers to a sudden loss of blood flow, which occur as a result of the failure of the heart to actively pump blood. Performing chest compress on a victim of cardiopulmonary attack will help to restore the pumping function of the heart again.

If water were a nonpolar molecule how would its properties be differentA. Water would be able to climb inside plants
b. Water would stick together much more strongly.
c. Water would no be able to form hydrogen bonds
d. Water would be a much lighter molecule

Answers

Final answer:

If water were nonpolar, it would not be able to form hydrogen bonds, which are essential for its unique properties such as capillary action and being an excellent solvent.

Explanation:

If water were a nonpolar molecule, its properties would differ significantly from the water we know. One of the key changes would be that it would not be able to form hydrogen bonds. Currently, water's polarity allows it to attract other water molecules and various other polar substances, leading to hydrogen bonding. Hydrogen bonds contribute to water's many unique properties, such as its high boiling point, high heat capacity, and the ability of liquid water to be 'wet' due to its ability to stick to many substances and dissolve them.

Without this ability to form hydrogen bonds, water would not exhibit capillary action, which is how water climbs up a narrow tube or plant tissue. Thus, if water were nonpolar, it would not be able to climb inside plants as efficiently as it does now, contradicting option (a). It is also worth noting that water would not necessarily stick together more strongly; instead, without hydrogen bonding, the intermolecular forces would be weaker, which contradicts option (b). Additionally, option (d) is incorrect because the polarity of water has no bearing on its molecular mass, meaning water would not necessarily be a much lighter molecule.

Therefore, the correct answer to the question is that if water were a nonpolar molecule, it would not be able to form hydrogen bonds(option c).

Scientists are infallible in their field of knowledge. True or false.

Answers

Wrong, everyone makes mistakes
Infallible = incapable of making mistakes or being wrong.

The answer is false, scientists make mistakes all the time.

Which of the following varies Daily?
A:) Shorelines
B:) Shore
C:) Coastline
D:) Beach

Answers

i believe that the answer is the shore line. A shore or a shoreline is the fringe of land at the edge of a large water body of water, such as an ocean, sea, or lake. In physical oceanography it is the wider fringe that is geologically modified by the action of the body of water past and present, while the beach is at the edge of the shore.

Final answer:

Beaches vary daily due to the impact of tides, which cause changes in sediment deposition and erosion. This makes D) Beach the correct answer, as it reflects the dynamic nature of beaches, unlike more stable features like shorelines, shores, or coastlines.

Explanation:

The feature among the options that varies daily is beaches. Beaches are dynamic coastal environments where sediment accumulation, shaped by the action of shoaling and breaking waves, can change dramatically over short periods. Tides, which are the rhythmic rise and fall of sea level caused chiefly by the gravitational pull of the Moon and Sun, play a significant role in this variability. The daily oscillations in ocean level due to tides lead to continuous coastal erosion and deposition, causing the shoreline - and thus, the beach - to migrate landward and seaward. This means the physical characteristics of beaches can vary daily, unlike shorelines, shores, or coastlines which are more stable in their appearance and composition over short time frames.

Therefore, the correct answer to the question is D) Beach. This considers the crucial role of tidal actions and the constant change in sediment disposition that typifies beaches, distinguishing them from more permanent coastal features.

A community mental health nurse cares for a patient diagnosed with schizophrenia who takes olanzapine. in addition to monitoring the patient's mental status, the nurse regularly should assess what of the patient?

Answers

The condition for this question is select all that apply. The choices are:

Peripheral pulses 
Blood pressure
Blood glucose
Weight
Height

The correct answers are "weight", "blood pressure", "peripheral pulses", and "blood glucose". The most common side effect of Olanzapine is hyperglycemia which can potentiate the development of diabetes mellitus. Since the development of diabetes mellitus poses a risk for the patient to develop metabolic syndrome, then the weight should also be monitored to prevent obesity. Peripheral pulses should be assessed as diabetes can cause arteriosclerosis of the extremities which can lead to decreased peripheral pulses. Lastly, blood pressure shall be monitored to prevent cardiac complications.

A mental health nurse should regularly assess a patient on olanzapine for side effects of the medication, encourage reporting of these effects, and monitor medication adherence to support the patient's treatment for schizophrenia.

A community mental health nurse caring for a patient diagnosed with schizophrenia and taking olanzapine should regularly assess for side effects associated with the medication. It is well-known that olanzapine, which is a second-generation or atypical antipsychotic, can cause a range of side effects that may impact a patient's health and quality of life. These side effects include weight gain, diabetes, hyperlipidemia, and sometimes extrapyramidal symptoms similar to Parkinson's disease. Additionally, the nurse should monitor for adherence to medication, as non-adherence can lead to a relapse rate of around 20% of patients.

Aside from monitoring the patient's mental status, it is important for the nurse to pay attention to both psychological and physical health indicators. The nurse should provide education on potential side effects and encourage reporting them to the healthcare provider. Maintaining open communication about these side effects may increase adherence to the treatment plan, reduce the risk of relapse, and support the patient's overall well-being.

Although it is not listed as a nutrient, this substance plays a large role in weight management and has been shown to prevent cvd, type ii diabetes, and cancer.

Answers

The correct answer is "fiber".

Fiber is actually indigestible food products such as cellulose that aids in the digestion and bowel function. Fiber, first of all, limits the absorption of extra fats therefore preventing hypertriglyceridemia and eventually cerebrovascular and cardiovascular consequences. Fiber also limits glucose absorption controlling type II diabetes. Lastly, fiber also acts as protection in the colon by increasing the transit times of potentially carcinogenic substances found in food, therefore preventing colon cancer.

Refraction occurs when a wave changes its A) color. B) frequency. C) intensity. D) speed.

Answers

The best answer is speed.
D <<<<======
Hey there!

Your answer is option D.

Refraction occurs when a wave changes its speed.
Color, intensity, or frequency do not affect refraction like speed.

Hope this helps you.
Have a great day (:

A client is being discharged from the hospital after being diagnosed with and treated for systemic lupus erythematosus (sle). what would the nurse not include when teaching the client and family information about managing the disease?

Answers

If   the  client  has   a   problem  with  medication, he  or  she  can  stop  it  until  the  next   physician.  is  what  the  nurse  is  not  suppose  to   include   when  teaching  the  client   and  family   about  managing  the  disease.  The  client  is  suppose  to     take exactly  as  directed  and  is not  suppose  to  stop medication  even  if  symptom  are   relieved  unless  advised  to   do  so  by  the   physician.

help 1-8. plz help. 20 points

Answers

1. Respiration and photosynthesis

In a parent pea plant with the allele pair gg what is the probability that one gametes will contain the g allele

Answers

100% because in a punnet square the g allele would be distributed to each offspring (square)

Tim is overweight. his physician has decided to test him to see if there is a problem with the regulation of his metabolism. which endocrine gland will be the focus of diagnostic testing?
a. adrenal
b. thymus
c. thyroid
d. pancreas
e. pituitary

Answers

Answer:

C. Thyroid

Explanation:

The thyroid gland is an endocrine gland in the human body and serves to secrete thyroxine (T4), triiodothyronine (T3) and calcitonin hormones. T3 and T4 are iodinated amino acid derivatives and target the body cells to increase the metabolic rate.  

Thyroxine (T4), triiodothyronine (T3) from the thyroid gland stimulate all body cells to increase the rate of breakdown of glucose by cellular respiration and to release more and more energy to perform various functions.  

When these two hormones are not secreted in an adequate amount, the metabolic rate of the body is reduced which in turn leads to weight gain. Therefore, the thyroid gland and its secretions are checked in an overweight person to confirm the cause of the weight gain.  

A behavioral adaptation must be related to _____. A. anatomy B. reproduction C. acquired traits D. how something acts

Answers

D - How something acts
The answer is reproduction

what characteristics shared by humans and other primates suggest they have a common ancestor

Answers

similar skull shape, thumbs, DNA is much closer than most other organisms

Shared characteristics between humans and other primates, such as social behavior, skeletal structures adapted for arboreal life, forward-facing eyes, prehensile extremities, and certain DNA similarities, suggest a common ancestor. Homologous traits like the degree of encephalization (brain size relative to body size) and brachiation further support this idea.

The characteristics shared by humans and other primates that suggest a common ancestor include a variety of physical and behavioral traits. For instance, both humans and primates are social animals that live in groups, a characteristic that likely evolved from a common primate ancestor. Additionally, morphological similarities such as the lack of a tail in hominoids, adaptations for arboreal life, and specific dental patterns support the idea of a shared ancestry. The evidence that humans and other primates have a high percentage of similar DNA sequences further strengthens the hypothesis of a recent common ancestor.

Some homologous traits indicating a common lineage with non-human primates include generalized skeletal structures suited for an arboreal lifestyle, convergence of eyes (forward facing) providing depth perception, and the presence of prehensile extremities for manipulation and grasping. These adaptations are indicative of a primate ancestor that was arboreal and relied more on vision than olfaction. Humans also share a longer life history with other hominoids, taking a considerable amount of time to grow and develop, indicative of an extended lifespan, a characteristic also found in our primate relatives. Behaviors such as group living and certain locomotive abilities like brachiation further exemplify the shared heritage between humans and primates.

Susie places 3 beakers in the freezer. The first beaker contains water only, the second contains water and salt, and the third contains a water and sugar solution. Susie recorded the temperature and the time at which each mixture froze. Which is the most appropriate hypothesis for her experiment? A) Salt affects the freezing point of water. B) The addition of salt raises the freezing point of water. C) The addition of a sugar lowers the freezing point of water. D) The addition of different substances affects the freezing point of water.

Answers

Answer:

D) The addition of different substances affects the freezing point of water.

Explanation:

The best answer would be letter D.

The short explanation would be, the other choices only involves the addition of 1 substance (salt or sugar).

The long explanation:

Susie is testing two types of solution: sugar + water and salt + water.  This means that she is testing the effect of both. An experiment is done to test certain variables and an addition of a variable that is not being tested is not advisable. But since she intentionally used both solutions, then it is reason enough to assume that she is testing both substances (sugar and salt) so the hypothesis should include both as well.

Answer:

The correct answer is option D) "The addition of different substances affects the freezing point of water".

Explanation:

A hypothesis is defined as a supposition based on evidence that could be confirmed or rejected according to experimental results. In this case, Susie has performed an experiment that involves freezing 3 beakers and recording the temperature and time of freezing. The first beaker contains water, the second water and salt, and the third water and sugar. Since Susie is experimenting with salt and sugar using a water only beaker as control, the most appropriate hypothesis for her experiment is that the addition of different substances affects the freezing point of water. There is no additional information that could make Susie hypothesize how salt and sugar affects the freezing point of water, but the results of her experiment will let her gather the information she needs.

Compared to eukaryotic cells, prokaryotic cells contain
A. about 1000 times more DNA.
B. about one thousandth as much DNA.
C. twice as much DNA.
D. the same amount of DNA.

I hate how its worded and how they couldn't give me a simple answer choice everything is backwards!

Answers

Compared to eukaryotic cells, prokaryotic cells contain about one thousandth as much DNA.
In other words, the eukaryotes have about 1000 times amount of DNA compared to pokaryotes. Prokaryotes cells are quite small and simple in structure. They have no nucleus, no organelles and a small amount of DNA in the form of a single, circular chromosome. Eukaryotic cells on the other hand have a nucleus, multiple organelles and more DNA arranged in multiple, liner chromosomes.

Answer: B.about one thousandth as much DNA.

Explanation:

Eukaryotic cells are typically larger and more complex then the prokaryotic cells. The eukaryotic cell posses membrane bound organelles and well defined nucleus on the other hand the prokaryotic cells does not posses membrane bond organelles and they lack nucleus. The eukaryotic cells are present in the complex organisms and prokaryotic cells are present in simple organisms. The complex functions like photosynthesis, respiration, digestion and others requires a genetic material which includes genes for expression of proteins necessary to performing various functions. Due to this complexity the DNA of the eukaryotic organisms is thousand times more than the DNA of the prokaryotic organisms.

All genes are composed of specific sequences of _______ molecules

Answers

I believe that all genes are composed of specific sequences of DNA molecules. A gene is  the basic functional unit of heredity, they are made up of DNA molecules and act as instructions to make molecules called protein through gene expression. Genes may vary in size from a few hundred DNA bases to more than 2 million bases.

If a person's cerebellum were damaged in an accident, you would expect that person to have problems with:

Answers

Balance and muscle coordination
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