Mrs. Mendoza, who has had type 2 diabetes for 17 years, had a below-the-knee amputation of her gangrenous left foot. Her electronic health record indicates that she has had peripheral neuropath, diabetic retinopathy with loss of visual acuity, gastroparesis, and two previous hospitalizations for hyperosmolar hyperglycemic nonketotic syndrome. The two basic components of type 2 diabetes are _________. (select all that apply)

Answers

Answer 1

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.


Related Questions

How to calculate the heart rate from the electrocardiogram ?​

Answers

Answer:

ECG paper is a grid where time is measured along the horizontal axis.

Each small square is 1 mm in length and represents 0.04 seconds.

Each larger square is 5 mm in length and represents 0.2 seconds.

Voltage is measured along the vertical axis.

10 mm is equal to 1mV in voltage.

The diagram below illustrates the configuration of ECG graph paper and where to measure the components of the ECG wave form

Heart rate can be easily calculated from the ECG strip:

When the rhythm is regular, the heart rate is 300 divided by the number of large squares between the QRS complexes.

For example, if there are 4 large squares between regular QRS complexes, the heart rate is 75 (300/4=75).

The second method can be used with an irregular rhythm to estimate the rate. Count the number of R waves in a 6 second strip and multiply by 10.

For example, if there are 7 R waves in a 6 second strip, the heart rate is 70 (7x10=70).

Responses of the Mast cells to the allergen include/s a. All of the answers are correct b. Degranulation c. Secretion of lipid mediators d. Secretion of cytokines

Answers

Answer:

The correct answer is - A. All of the answers are correct.

Explanation:

Mast cells are the cells that are present on connective tissue. These cells have many garnules that are filled with histamin and heparin that play role in first line immune response against allergens. Degranuation is the process of releasing these granules.

Other than this mast cells or mastocytes also secrete lipid mediators and cytokines. These are activated and secreted in presence of allergen or anaphalyxis response.

Which of the following Body types will have an ad in FLATED BMI

Answers

Extremely muscular because muscles weigh a lot, more than fat.

Mr. C. is at the grocery store, his niece told him to buy whole grain bread. All of the following statements are true about whole grains products EXCEPT:________
A. Any flour made from the endosperm of the wheat kernel is called wheat flour.
B. Whole grain products contain germ and bran as well asendosperm.
C. Refined-grain products contain germ and bran as well as endosperm.
D. Enriched white flour refers to refined flour.

Answers

The statement given is true except "Refined-grain products contains germ and bran as well as endosperm".

It should be noted that the wheat flour is made from the endosperm of the wheat kernel. Also, the germ, bran, and endosperm are contained in the whole grain.

The refined grain doesn't contain germ or bran because they're removed during the processing. It only contains the endosperm.

In conclusion, the correct option is C.

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Martha Wembly has a history of diabetes mellitus, type 2. How is this different from diabetes mellitus, type 1

Answers

Answer and explanation:

Diabetes Mellitus is a condition characterized by high blood sugar levels (hyperglycemia), if not properly controlled this disease can severely damage many organs and cause death.

There are different types of Diabetes Mellitus, Type 1, Type 2, and Gestational (this type of diabetes, in particular, is unique to pregnant women).

In a healthy body, when blood sugar levels are high (for example, right after we eat), Insulin would be released from the pancreatic beta-cells to induce the entering of glucose (also called sugar) into different tissues such as skeletal muscle and fat, where it will be used to produce energy and store the excess for when the body needs it.

Patients that suffer from Diabetes Mellitus cannot get the glucose they ingest into the mentioned tissues, and for that reason, the blood sugar levels stay high and can produce several life-threatening consequences. This incapacity can have different roots and is the reason behind the classification of this condition.

Type 1 Diabetes is the most uncommon of the two and it appears for the first time during childhood or teenage years. Patients with type 1 Diabetes CANNOT produce Insulin, because their pancreatic beta-cells are deficient. For this reason, these individuals have to be administered exogenous Insulin for the rest of their lives.

Type 2 Diabetes is, by far, the most common type of Diabetes. Unlike type 1 diabetics, these patients can produce glucose, but the combination between genetic predisposal and unhealthy habits such as poor diets or sedentarism can lead to a condition called Insulin resistance, in which the tissues cannot accept the glucose even if there's Insulin around. This type of Diabetes usually starts manifesting during adulthood (especially in patients that are older than 40 years old) and is treated with specific medication and a change in their habits.

Cholesterol is necessary for the production of many other compounds in the body but can become harmful when blood levels exceed 135 mg/dl. exceed the body's ability to use it. can only be controlled through medications. a and b.

Answers

Answer:

The correct answer is a and b( exceed 135 mg/dl and can only be controlled through medications.)

Explanation:

Cholesterol is a natural fatty substance that is present in the body and is necessary for the proper functioning of the cells of the human body. It is considered to be at the high limit when the whole blood level exceeds 130 milligrams per deciliter of blood (mg / dl). When this happens, fats tend to build up inside the arteries, impeding blood flow and can lead to serious heart disease and stroke. A doctor usually prescribes drugs to lower high cholesterol (they usually recommend statins), it is because the person is in the intermediate risk limit and has factors that increase the risk of heart disease or stroke, causing long-term arteries become clogged and diseases such as atherosclerosis or heart attack appear.

The nurse provides dietary instructions to a client with diabetes mellitus regarding the prescribed diet. Which statement if made by the client indicates a need fir further teaching

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Answer:

A nurses caring for a client after a thyroidectomy and notes that calcium gluconate is prescribed for the client. The nurse determines that this medicine has been prescribed to

treat hypoglycemic tetany.

Prescription: XYZ medication 200 mg, 5 tabs bid x 6 days. How many tablets will be dispensed from the pharmacy?

Answers

Answer:

60 tablets

Explanation:

BID means 2x a day, and it says take 5 tablets 2x a day. So, if 10 tablets are taken in one day for 6 days, then 60 tablets will need to be dispensed by the pharmacy.

A 40-year-old male vegetarian is diagnosed with folate deficiency anemia. He reports that he is an alcoholic. Which of the following factors put him at greatest risk for developing his disease? a. Being vegetarian b. Being alcoholic c. Age d. Gender

Answers

hid gender

because he was diagnosed for folate deficiency anemia

It is hard to understand why the U.S. Food and Drug Administration (FDA) has become a punching bag for politicians and business people who complain about federal regulations and laws. The FDA tries to make sure that food and medicines are safe, and what is wrong with that

Answers

Omg what? That’s cool that they have a punching bag. Ya know, I do kinda agree. People are complainers

The UB-04 form has space for more diagnosis codes, but it is not possible to link the procedures to a specific diagnosis. True False

Answers

Answer:

True

Explanation:

The UB-04 stands for the uniform billing form.  It is the standard claim form, printed with red ink on white standard paper, used by institutional providers for the billing of medical and mental health claims. The form can accommodate about twelve diagnosis codes, with four codes mapping to a specific CPT code.  The CPT code describes the treatment and diagnostic services that the healthcare institution has provided for a particular diagnosis, ICD-9.

Meredith in labor for the first time she had a normal pregnancy and good prenatal care labor preceded normal until she was dilated to 4 cm since that point no progress has taken place it has been 12 hours meredith is tired and frustrated the fetus demonstrates no stress as of yet meredith is scheduled for a c-section

Answers

Answer:

Explanation:

A C-section scheduled for Meredith is best for her. A dilation of 4cm can't proceed with normal labor. Being in labor for 12 hours is dangerous for the mother and fetus. Even if the fetus demonstrates no stress yet, it is safer to have a C-section for Meridith to keep the mother and fetus in good status.

2. Describe social diversity and discuss two examples.

Answers

In we all the society members gather in any problems and solve that problem is call social diversity

Explanation:

if the water tap broken all the society members join and solve to fix that problem.

Social diversity may be defined as the sum total of all humans that live in a single culture and are set apart from each other through various elements of it.

What are the elements of social diversity?

The elements of social diversity are lifestyle, religion, language, ethnicity, race, gender, tastes, preferences, etc.

The examples of social diversity are as follows:

Religious diversity: It is one of the most common and highlighted diversity that is frequently seen across the world. According to the reports, there are approximately 4200 religions are present in the world. But all maintain a relationship of brotherhood and spread peace, harmony, and happiness to the entire world.

Cultural diversity: This type of diversity is considered the subpart of religious diversity. It is associated with the ethnicity of each person and fixed the social norms for the society that aid in raising the values of each family.

Therefore, it is well described above.

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difference between action potential of sa node and contractile myocytes​

Answers

Different groups of cells depolarize at different rates. The rate of depolarization of SA node cells is faster than the rate of depolarization of AV node cells. ... If both the SA node and AV node fail, the Purkinje fibers have a modest level of automaticity (20 beats/minute) that may still reach threshold

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Attempt 1
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HEMATOLOGY
1. ROOT ....
2. COMBINING FORM
3. SUFFIX...
TRANSGASTRIC
1. PREFIX....
2. ROOT...
3. SUFFIX...
ARTHRITIS
1. ROOT.......
2. SUFFIX....

Answers

You got this just read the question

Electronic Health Records (EHR) have truly changed everything in US healthcare. But like any major change in healthcare, there are pros and cons, advantages and disadvantages. Please discuss the benefits of EHR implementation, and also discuss the EHR challenges which are being encountered.

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Answer and Explanation:

The implementation of EHR can be considered something extremely beneficial for the healthcare system anywhere in the world, due to its numerous benefits such as the centralization of patient information in a single system. This allows any health professional, in any region, to access the patient's health history, test results, medications used by the patient and family history. The EHR also promotes agility in the search for information about the patient and savings in physical space, as the EHR eliminates the need for storing patient papers and documents. Failures in drug prescriptions are also reduced and service and diagnosis are streamlined.

However, some challenges must be overcome for EHR to be efficiently implemented. One of these challenges is the cost, as the implementation of EHR can have a high cost that is passed on to the patient and can become unfeasible. in addition, it is necessary to create a very efficient electronic system, which prevents the existence of data loss, malfunctions and hacker attacks.

Judy, a 28 y/o, presents to the clinic with a fever, vaginal discharge, and pain in the lower abdomen, pelvis, and lower back. These symptoms are accompanied by chills, nausea, and vomiting. This presentation is most typical of:

Answers

Pelvic inflammatory disease is what I would say

This presentation is most typical of pelvic inflammatory disease. Pelvic

inflammatory disease affects the reproductive organs in females such as:

UterusFallopian tubeOvary

The symptoms include:

Chills NauseaVomitingVaginal discharge etc

It is usually caused by bacteria which causes various degree of inflammation

and can be treated with the use of antibiotics.

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Why have risky behaviors for zoonotic diseases continued even though we know that some of these diseases can infect humans?

Answers

Answer: Zoonotic diseases are those diseases that are transferred from animals to humans.

Explanation:

In zoonotic diseases animals are the vectors for the transfer of disease from humans to animals. The organisms that are transferred through zoonotic diseases are bacteria, viruses, fungi, and parasites. Mostly the disease causing organisms are parasites. For example rabies, Lyme disease, plague, salmonellosis, west nile virus, and others. These diseases develop risky human behavior. For example humans affected by rabies show phobia from water. Some humans also develop biting tendency.

a goiter can result fromtoo much or too little iodine in the diet. choline supplementation. vitamin A toxicity. chromium deficiency.

Answers

Answer:

Too little iodine in diet

Explanation:

Goitre could occur as a result of too little iodine in diet. When there is not enough iodine in the diet, it canresult to goitre. This is why iodine is added to table salt in most countries of the world to combat iodine deficiency.

3. A 12-year-old child experiences high fever and chills. He also says that his heart feels like its pounding. Two weeks before these symptoms, the child fell off his bike and skinned his knee. This child also has a history of a heart murmur. What disease should be considered and what is the treatment

Answers

Answer:

The child seems to have an infective endocarditis probably because of the skinned knee which could have acted as a route for transmission into the body and reaching the heart and causing infection leading to increased in body temperature with chills(typical signs), pounding or rapid heart rate. This also exhibits an abnormal heart murmur .It can found in children if they have some skin injury.

Treatment:

-Antipyretics to reduce temperature

-Antibiotics to treat infection

-Skin hygiene to prevent entry of bacteria via open end

-Daily dressing as per need to prevent

-multiplication and growth of microorganisms

Overcoming challenges to cultural competence in research requires that: (Check ALL that apply)

Answers

Answer: • Investigators examine and understand of historical contexts for study populations before initiating research study design.

• Early-phase study design should take into account race, ethnicity and cultural factors.

• IRB membership should include representatives of large communities and cultural groups as representatives.

Explanation:

Cultural competence in research refers to the ability of researchers to provide high quality research whereby the culture and the diversity of the population is taken into account during the development of the research ideas and when conducting the research.

The requirements for cultural competence include:

• Investigators examine and understand of historical contexts for study populations before initiating research study design.

• Early-phase study design should take into account race, ethnicity and cultural factors.

• IRB membership should include representatives of large communities and cultural groups as representatives.

Another form of fibrous connective tissue of the body that covers, connects or supports other tissues is called?

Answers

Fibrous connective tissues (figure 1) are the most diverse type of connective tissue. They are also called fibroconnective tissue or connective tissue proper. Reticular fibers are the third type of protein fiber found in connective tissues. This fiber consists of thin strands of collagen that form a network of fibers to support the tissue and other organs to which it is connected.

Mr. Barker enjoys a comfortable retirement income. He recently had surgery and expected that he would have certain services and items covered by the plan with minimal out-of-pocket costs because his MA-PD coverage has been very good. However, when he received the bill, he was surprised to see large charges in excess of his maximum out-of-pocket limit that included some services and items he thought would be fully covered. He called you to ask what he could do? What could you tell him?

Answers

Answer:

The correct answer is - You can offer to review the plan's appeal process to help him ask the plan to review the coverage decision.

Explanation:

Mr. Barker received the bill and there is an excess of the maximum out-of-pocket limit that is a limit a person has to pay for covered medical care services.

As he asked what he could do, you could explain that there are several plans he could review all the plans appeal process and to as well help him to ask the issue, benefits of each plan to review. Explaining and reviewing plans and coverage will help a person to makes decisions about their benefits including the amount they have to pay for their medical services plan.

If a person’s diet includes a lot of processed foods and not a lot of fresh fruits or vegetables, failing to meet recommended intakes of ______ is likely.

Answers

Answer:

potassium

Explanation:

Got it right on the test.

If a person's diet consists primarily of processed foods and not a lot of fresh fruit and vegetables, he or she is more likely to fall short of meeting recommended potassium intakes, as fresh foods are high in potassium.

What are the roles of the ions in the body?

The ions' role is important for the body as they maintain equilibrium in the body and there are many ions such as sodium, potassium, calcium, chloride, etc., and if an ionic imbalance is attained in the body, many diseases are seen and the body's homeostasis is affected. In general, eating green vegetables and natural foods balances the ions, whereas eating processed foods creates an imbalance due to the high sodium content of preservative products.

Hence, if a person's diet consists primarily of processed foods and not a lot of fresh fruit and vegetables, he or she is more likely to fall short of meeting recommended potassium intakes, as fresh foods are high in potassium.

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The question is incomplete; the complete question is below.

If a person's diet includes a lot of processed foods and not a lot of fresh fruits or vegetables, failing to meet recommended intakes of _____ is likely. 

A. Sodium 

B. Chloride 

C. Potassium 

D. Calcium

Occurs when an area heart muscle dies or is permanently damaged because if an inadequate supply of oxygen to that area; also known as heart attack.

Answers

Myocardial Infarction (Heart Attack)

It occurs when an area heart muscle dies or is permanently damaged because if an inadequate supply of oxygen to that area. It is a life threatening emergency.

Symptoms of myocardial infarction are anxiety, shortness of breath, tightness in chest, dizziness and etc.

Hope it helps you!\(^ᴥ^)/

When the person is being fed through an intravenous central catheter, they are given _____________________ nutrition.

Answers

Total parenteral nutrition
- If they are ONLY being fed this way it would be referred to as Total parental nutrition. = TPN, is used when this is the only source of nutrition the patient is receiving. They're entirely dependent on TPN for all of their nutrition. It is primarily used to treat patients with digestive system disorders or patients who are recovering from a serious accident or surgery.

Parenteral nutrition is used to treat patients who cannot eat or have limited digestive powers by providing a liquid mixture of nutrients directly to the bloodstream. Parenteral nutrition is delivered intravenously to a vein and includes protein, carbohydrates, fats, vitamins, minerals, and any other nutrients required by the body.

Parenteral nutrition is different than enteral nutrition, which is the use of a feeding tube to provide nutrients directly to the stomach for digestion. Parenteral nutrition may be used if a feeding tube didn't work or if the patient suffers from conditions like Crohn's disease, cancer, short bowel syndrome, or ischemic bowel disease to list a few.

A 12-year-old child experiences high fever and chills. He also says that his heart feels like its pounding. Two weeks before these symptoms, the child fell off his bike and skinned his knee. This child also has a history of a heart murmur. What disease should be considered and what is the treatment

Answers

Explanation:

Given:

Here a 12-year old child experineces high fever and chills. He also says that his heart feels like its pounding.Two weeks before these symptoms, the child fell off his bike and skinned his knee. This child also has a history of a heart murmur.

The objective is to identify the disease and the treatment for the disease

Solution:

The child is experiencing infective endocardits.

Treatment with aqueous penicillin or ceftriaxone is more effective foe most infections caused by streptococci. The combination of penicillin or ampicillin with gentamicin is appropriate for endocarditis caused by enterococci that are not highly resistant to penicillin intial empiric therapy in patients with suspected endocrditis should include plus in an aminoglycoside

The valve replacement is considered in selected patients with infectious endocarditis

The common congental defects that cause hearts murmurs include holes in the heart or cardiac shunts which is known as septal defects.

The disease that should be considered is infective endocarditis whose treatment can be based on antibiotics.

Infective endocarditis is a type of infection in the internal heart tissue called the endocardium.

This disease (infective endocarditis) may be caused by different harmful microorganisms (.e.g, bacteria, fungi, etc), which in this case could have entered into the body through the skinned knee.

Infective endocarditis can be treated by using proper antibiotics to kill harmful microorganisms.

In conclusion, the disease that should be considered is infective endocarditis whose treatment can be based on antibiotics.

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The nurse is trying to determine the ability of the client with myocardial infarction (MI) to manage independently at home after discharge. Which statement by the client is the strongest indicator of the potential for difficulty after discharge?1. I need to start exercising more to improve my health.2. I will be sure to keep my appointment with the cardiologist.3. I don't have anyone to help me with doing heavy housework at home.4. I think I have a good understanding of what all my medications are for.

Answers

Answer:

3. I don't have anyone to help me with doing heavy housework at home.

Explanation:

All the response options, with the exception of the third, have an autonomy of the patient, where he shows that he will have no difficulties in performing necessary tasks, without the help of third parties. However, in the third answer option, the patient shows that he will have difficulties after being discharged, as he fears that he will have difficulties in being alone, since he has no one to help him.

Therefore, we can assume that the correct answer to your question is the third answer option.

The RDAs for nutrients are set based on the dietary intakes of people who appear to be maintaining nutritional health. based on a person's height and weight. to cover the needs of 97% of the population. by the FDA for food labeling purposes.

Answers

Answer:

The correct answer is '' to cover the needs of 97% of the population.''

Explanation:

The Recommended Daily Allowances or RDA, by definition, correspond to the average amount of a nutrient that a healthy person must ingest daily, through diet, to maintain a correct state of health. These established values are an approximate guide to meet the needs (intake level of a sufficient nutrient) of almost all (97 to 98%) individuals in the healthy population, but may vary due to factors such as age, sex or level of activity. It must be taken into account that each nutrient has a series of functions in the body, hence the importance of knowing the approximate amount that we should consume each day and, therefore, of knowing the RDA.

A 56 year old woman is complaining of vaginal dryness and dyspareunia. She is prescribed this medicine with lesser side effects

Answers

Answer:

osphena (ospemifene)

Explanation:

Osphena would be my guess
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