A 64-year-old African American female presents to the clinic for evaluation of her hypertension, which she has had for several years. In the past she had been taking hydrochlorothiazide and lisinopril, with little effect on her blood pressure management. At today’s visit, she has no complaints and feels well. Her vitals show T m 96.6, P 85, R 18, BP 191/99. She has no jugular venous distention seen on the neck exam, her lungs are clear, and cardiac exam has a regular rate and rhythm without murmur or gallop. Her abdomen is soft, non-tender, and a bruit is appreciated at the mid-abdomen just a few centimeters below the epigastric region. There is no fullness or enlargement of the abdominal aorta on palpation. Based on the history and clinical findings, what is the most appropriate next test for this patient?

Answers

Answer 1

Answer:

A Ct scan

Explanation:


Related Questions

What kind of psychologist is concerned with changes that occur in a person over a long period of time?

Answers

I think it’s a developmental psychologist.

Tom is beginning to improve his physical fitness. Describe to him the positive effects that physical fitness can have on at least 3 of the dimensions of wellness.

Answers

Answer:

• It can change his attitude  emotianly of being able to stay strong and believe in himself

• It could help also with social wellness by feeling better about himself and his body

• Another is spiritual wellness he can take out his flustrations out on his workout instead of other people

Answer:

Physical fitness can decrease the risk of disease, can decrease the risk of psychological problems and promote better social well-being.

Explanation:

Physical fitness is something very important that is built through physical activity practiced constantly and regularly. Physical fitness corresponds to our body's ability to make physical effort without feeling bad. In addition, fitness promotes improvements in our physical, social and emotional health.

In physical health, we can say that physical fitness prevents the appearance of diseases, especially cardiovascular diseases. In mestral health, we can say that physical fitness through physical activity promotes the release of hormones that promote well-being and decrease the risks of mental problems. As a result, we feel good and are more likely to make friends and socialize.

which item or items May contribute to asthma nitrogen oxide carbon monoxide oxygen and particle matter nitrogen oxygen and carbon monoxide​

Answers

Answer:

carbon monoxide is poisonous to humans and will definitely contribute to the severity of a person's asthma. Particle matter can range from smoke from cigarettes, to pollen; it can cause asthma.

Explanation:

Select the paragraph that BEST compares and contrasts a hierarchical versus a team structure.

Health care teams are arranged in a way that is patient centered. Hierarchical structures are teams working together for a common goal. The team structure offers clearly defined roles and opportunities for advancement. The hierarchical approach offers the best opportunity for collaboration.

A hierarchy is composed of individuals arranged by level or rank. A team is a group of individuals working toward a common goal. On a team, each individual shares the same level and responsibility. Hierarchical structures provide clear roles and a path for advancement. Team structures provide opportunities for collaboration and mutual respect.

Health care teams are groups of professionals working together to share a common goal. Hierarchical structures arrange people by rank. Team structures provide clearly defined roles and opportunities for advancement. Hierarchical structures are a considered a patient-centered approach.

In a hierarchy, all individuals share a common rank or level. In a team structure, individuals are arranged by rank or role. Teams provide clearly defined roles. Hierarchical structures provide opportunities for advancement.

Answers

Answer:

A hierarchy is composed of individuals arranged by level or rank. A team is a group of individuals working toward a common goal. On a team, each individual shares the same level and responsibility. Hierarchical structures provide clear roles and a path for advancement. Team structures provide opportunities for collaboration and mutual respect.

You've seen many harmful effects of substance abuse and you should have some ideas in mind for preventing it. You've also have read stories about how others have coped with ecstasy addiction and cigarette smoking. Now think about your own life and experiences and tell your story. It can be real or fictional, about you or about someone else. If it's based on a real story that does not yet have a satisfactory ending, you can change the story by using the prevention strategies and successful struggles with these issues that you've seen. Write your story in the space provided.

Answers

Answer:

iv seen addiction

Explanation:

my 25 yr old brother died he would always smoke cigerettes he was addicted to them becuase of nicotine and he got lung canser and his lungs quit working that night he died in that medical room and it was all because he couldn't get away from it  

Answer:

The following story is fictional. The conclusion is if my mother could, surely you can too. You just have to have the conviction and the willpower to do it. Committing, in addition to the help of both health professionals and family members, will contribute to the failure of vice.

Explanation:

My mother was a heavy smoker. I coughed but that didn't stop her from staying smoked. She became ill with COPD. All family members advised them to stop smoking, however, the addition was stronger.

She suffered from hemorrhoids and had to be operated. In the consultation, the doctor warned her that because of the constant cough he could not operate it because he was not responsible for the result of the operation. And for that, she had to quit smoking.

The doctor's warnings took effect and finally, after so much fighting, she quit smoking. Since that day we have not seen a cigarette or tobacco in her mouth.

Which law prohibits harmful practices in the production of beef meant for human​ consumption?

Answers

Answer:

Food and drug act.

Which of the following statements about secondhand smoke is not true? A. The particles found in secondhand smoke are smaller than the particles found in firsthand smoke. B. Secondhand smoke can have higher concentration of dangerous chemicals than firsthand smoke. C. Secondhand smoke is inhaled less deeply than firsthand smoke. D. Breathing secondhand smoke is at least as dangerous as breathing firsthand smoke.

Answers

Answer:

C

Explanation:

Because people could breathe naturally smoking a cigarette. So saying that its less inhaled is false.

The statement for deeper inhalation of secondhand smoke than firsthand smoke is false. Thus, option C is correct.

What are the properties of secondhand smoke?

Secondhand smoke is the smoke inhaled by passive smokers as the combination of air and cigarette smoke.

Secondhand smoke is dangerous and contains chemicals and dangerous elements that can even cause cancer. The particle size is smaller in secondhand smoke than firsthand smoke.

The higher concentration of a chemical in secondhand smoke makes it more dangerous than firsthand smoke.

The inhalation of both firsthand and secondhand smoke is carried out at the same rate.

The harmful chemical in secondhand smoke makes it dangerous to breathe.

Thus, secondhand smoke is not inhaled deeper than compared to firsthand smoke. Hence, option C is correct.

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Is vaping healthier than smoking cigarettes?

Answers

Answer:

They are both aweful for your loungs

Explanation:

Yes, long-term data shows that vaping is a "heathier alternative" then cigarettes but there is nothing healthy about smoking anything because it will all evenchall hurt your loungs.

They are both vaping and smoking cigarettes are harmful to your respiratory organ.

Why is vaping healthier than smoking cigarettes?

Yes, long-term data shows that vaping is a "healthier alternative" than cigarettes but there is nothing healthy about smoking anything because it will all even hurt your lungs and eventually can cause respiratory disease.

Thus, They are both vaping and smoking cigarettes are harmful to your respiratory organ.

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Use the appropriate terms to complete the sentences.
Soft fruits like __________ are excellent antioxidants that keep skin looking youthful. Vine fruits like __________ help maintain healthy cardiovascular system.
1.limes
blueberries
apricots

2.watermelon
banana
mango

Answers

Answer: Blueberries are excellent at keeping the skin looking youthful. Vine fruits like watermelon help maintain a healthy cardiovascular system.

The correct answers are 1.) Blueberries and 2.) watermelon.

Explanation:

There are many different foods that will help skin keep a youthful appearance. Blueberries are considered a superfood in this department. Other foods are broccoli, kiwi, and and papaya.

Foods that are helpful to main the cardiovascular system are grapes, watermelon, and nuts.

Answer:

blueberries

watermelon

Explanation:

2.
The suggested daily intake of Vitamin C is 75 mg. About how many servings of peaches would it take to reach almost all of this amount?

a) 10 servings

b) 30 servings

c) 40 servings

d) 50 servings

e) 60 servings

Answers

Can I have a photo ///

In a professional organization, it is best to have a structure of elected officials instead of a single director or owner.

True
False

Answers

It’s true because if you have elected officials it helps when you have a lot of things to get done and it makes you Organization look more presentable than having one owner or director

A ________ is least likely to be involved in the IRB decision regarding whether a study will be permitted. Select one: a. Librarian at the research institution b. Local independent grocer with interests in academic research c. Scientist who conducts research at a university d. Veterinarian

Answers

Answer:

I think it's D

Explanation:

Answer:

The correct answer is: D) veterinarian.

Explanation:

The IRB, abbreviated from Institutional Review Board, is a committee that approves or rejects investigations by basing on ethics.

Of the people involved in the IRB decision regarding a study, a veterinarian is the least likely to participate in the board because his o her field does not extend to that field. However, a scientist, a librarian at the institution and a grocer with an interest in academic research, are much more likely to be involved.

Suppose your blood has too low ph. How can your body correct this?

Answers

By increasing depth and rate of pulmonary ventilation

Doing this causes more H+ ions not to be free but to combine with HCO3- to make H2CO3 which then makes more CO2 and H20 at the lung. The CO2 is then removed from the system leaving only water.

Two broad dimensions of behavior disorders are

Answers

Answer:

Behavioral disorders involve a pattern of hard to control disruptive behaviors in children that last for at the least is 6 months and cause problems in and around school, at home and in many social events or situations. Close to or nearly everyone shows some of these behaviors at times, but behavior disorders are more serious. Such as drug use or criminal activity.

Final answer:

Two broad dimensions of behavior disorders are externalizing and internalizing behaviors. Externalizing behaviors are overt and disruptive, while internalizing behaviors are inward and less visible.

Explanation:

The two broad dimensions of behavior disorders include externalizing behaviors and internalizing behaviors. Externalizing behaviors are overt and can include issues such as aggression, defiance, and impulsivity. These are more visible to others and usually manifest as disruptive behavior. Internalizing behaviors, on the other hand, refer to conditions that affect the individual internally, such as anxiety, depression, and withdrawal. These may not be immediately apparent to others as they are expressed inwardly and may be related to an individual's mood or internal state of mind.

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Early toxicologists were at a disadvantage when trying to identify and quantify poisons because they lacked _____.



True or False

Answers

Answer:false

Explanation:

A synapse between a motor neuron and a muscle cell uses the neurotransmitter acetylcholine. Where is the acetylcholine produced and to where does it travel?

Synaptic vesicles of the motor end plate; receptors on the axon
Synaptic vesicles of the axon; receptors on the motor end plate.
Receptors of the motor end plate; synaptic vesicles on the axon
Receptors of the axon; synaptic vesicles on the motor end plate

Answers

Answer:

It is produced in the receptors of the axon and it  travels trough the synaptic vesicles on the motor end plate.

Explanation:

Acetylcholine is produced by a series of enzymatic reaction in the neuron terminal, it is stored in small sacs called vesicles until an electrical impulse arrived and release them in the space among neurons called synapse.

When this neurotransmisor reaches another neuron, it is bonded in the acetylcholine receptors. The effect of this chemical substance is to contract the muscles like the heart muscles, by opening the sodium - potassium channel on it.

Hope this info is useful.

Answer:

Receptors of the axon; synaptic vesicles on the motor end plate

The ovaries are part of the endocrine system. Please select the best answer from the choices provided. T F

Answers

Answer:

Truuuueee

Explanation:

Ovaries are part of the reproductive system and the endocrine system.

ur welcome :)

correct me if i’m wrong

brainliest please?

HELP PLZZ.

Which is an example of documentation?

A. calling a patient with test results

B. telling a patient when his next appointment is

C. writing down a patient’s temperature

D. sending a patient a get well card

Answers

Answer:

C. writing down a patient’s temperature

Writing down a patients temperature.

A food is considered high in a nutrient if it provides

Answers

Answer: 20 percent or more of the Daily Value

A person with dementia can't concentrate long enough to finish a meal, often removes clothing when it is not appropriate, and has quickly changing moods. These are all examples of dysfunction in which part of the brain?

Answers

Answer: The Prefrontal Lobe

Hope this helps!

The heart rate is the amount of times the patient's heart beats within: a. 15 seconds x 2 b. 30 seconds c. 60 seconds d. 2 minutes

Answers

Answer:

c 60 seconds

Explanation:

when they measure heart rate they measure by the minute


Which device do chefs often use to braise lamb shanks?
Chefs often use a/an ___________ to braise lamb shanks.

Answers

Answer:

slow- cookers

Explanation:

it uses dry heat

hope this helps :)

Answer:

Preparation: In a saucepan, fry the onion and when it is golden brown add the diced meat, add the grated or sliced carrots, the potatoes cut into large pieces, season with salt, pepper and oregano to taste. Stir all the ingredients, spread the flour over the preparation and add the white wine.

Cook over low heat for 1 hour minimum, stirring occasionally, if the stew is dry you can add ½ cup of hot water. 5 minutes before finishing cooking, add the peas, the artichoke bottoms cut into quarters and the red paprika cut into thin strips, serve

If an HIV positive individual has followed treatment exactly as recommended becomes ill with flu-like symptoms and seems to be getting worse instead of better, what is the most likely situation?

Answers

Answer:

they need to just be treated for the flu now... doesnt necessarily have to "mean anything"

Explanation:

One of the main reasons Samantha decided to enter the field of health science is because many of the jobs are highly portable. What about the job does she admire?

The job has regular hours and the great potential for employment.
Experience earned in one location is easily transferrable to a new position in another location.
The skills are very flexible and can apply to a broad range of positions.
The job is very flexible and offers different types of schedules.

Answers

Answer:

Experience earned in one location is easily transferrable to a new position in another location.

Explanation:

This patient undergoes a gallbladder sonogram due to epigastric pain. The report indicates that the visualized portions of the liver are normal. No free fluid noted within Morison's pouch. THe gallbladder is identified and is empty. No evidence of wall thickening or surrounding fluid is seen. There is no ductal dilation. The common hepatic duct and common bile duct measure 0.4 and 0 cm, respectively. The common bile duct measurement is at the upper limits of normal. CPT code? ICD 10-CM code?

Answers

76705-26, 789.06

Ignore what I am now typing, gotta make my answer atleast 20 characters.

This patient undergoes a gallbladder sonogram due to epigastric pain. The report indicates that the visualized portions of the liver are normal. CPT code is 76705-26, ICD 10-CM is 789.06.

What does a gallbladder sonogram show?

Pictures of the abdominal organs are taken with sound waves, not x-rays. Primarily, the sonogram will determine if there are stones in your gallbladder, or if the ducts (tubes) in your liver or pancreas are enlarged.

Tests and procedures used to diagnose gallstones and complications of gallstones include: Abdominal ultrasound. This test is the one most commonly used to look for signs of gallstones.

The test is usually painless and typically lasts less than 30 minutes. There are factors that can influence the results of your ultrasound such as obesity and excess gas in your intestines.

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One of the characteristics of brain death can be revealed by a flat tracing on an electroencephalogram

Answers

Answer:

true

Explanation:

7POINTS!!!!!!!!!!!!

An ounce of cheese can be estimated by:

A. One hand cupped.

B. The size of your fist.

C. The size of the palm of your hand.

D. The size of your thumb.


HINT THE ANSWER IS NOT C

Answers

Answer:

D

Explanation:

the answer is D the size of your thumb

Answer:

D. The size of your thumb.

Explanation:

White meat and dark meat fish have slightly different nutritional characteristics. What are the nutrition characteristics of dark fish?
A.
unhealthy fats and omega bases
B.
healthy fats and omega-3 fatty acids
C.
mercury acids and fatty oils
D.
high fats and mercuric oils
E.
oily bases and white mercury

Answers

Answer:

B. healthy fats and omega-3 fatty acids

Explanation:

Dark-meat fish have a higher amount of fat, including herring, anchovy, tuna, catfish, mackerel, salmon and sardines.

These fish have a polyunsaturated fat (omega-3) essential for the body. It promotes several health benefits to the individual when consumed in optimal daily amounts, which corresponds to about 1g per day.

Among the benefits of omega-3 are reduced blood pressure, decreased triglyceride and total blood cholesterol, reduced risk of cardiovascular disease and stroke, and its anti-inflammatory action.

Answer:

healthy fats and omega-3 fatty acids

Explanation:

Prolonged hyperventilation can cause alkalosis. True or False

Answers

the answer is true not false

Final answer:

Prolonged hyperventilation can indeed lead to alkalosis, a condition caused by blood becoming too alkaline due to decreased carbon dioxide levels caused by excessive breathing.

Explanation:

Yes, it is true that prolonged hyperventilation can cause alkalosis. Hyperventilation means breathing excessively deep or rapid, which can lead to a decrease in the body's level of carbon dioxide.

This reduction in carbon dioxide results in a higher pH level in the blood, causing the blood to become more alkaline, a condition referred to as Alkalosis. It's important to moderate breathing to avoid such medical conditions.

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At what point should the geriatric team involve the patient's family in his or her care?

They should not involve the family.
The family should be involved at the point of discharge.
The family should be involved from the beginning.
The family should be involved when the patient can no longer make decisions.

Answers

the answer is number 4, The family should be involved when the patient can no longer make decisions.

Answer: I  believe that it would be from the beginning and not after they can no longer make decisions. Though they may be an adult it is best to let the family know in case something happens.

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Is race Hurstons most important feature ?why or why not? the dot plot shows the mass, in grams, of several substances in an experiment. How many substances has their mass recorded during the experiment? Simplify the expression 3x^2y^5(4xy^2)^3 Which statement best evaluates an authors use of support imagine you pour some hot soup into a bowl, and you place your hands on the outside of the bowl and the outside is warm, how did the heat from the soup through the bowl to your hands? Imagine two parallel, (infinite) planar sheets of perfectly black material, maintained at fixed temperatures TH and TL, respectively, and separated by some finite distance D. Suspended in between and parallel to these sheets are n additional, separate, parallel sheets of material, all with constant reflectivity r. (By separate, we mean that none of the sheets are in actual mechanical contact). When the entire system reaches a steady state, find (a) the net flux density (energy flow per unit time per unit area) of thermal radiation between the original two sheets. (b) How does this compare to the radiation flux that would be present between the two black sheets in the absence of the n intervening sheets? (c) To provide the best insulation, should these intermediate sheets be made of very shiny or very black material, or something in between? You are hired as the hr director for the fictitious xyz company, a business-to-business sales company, manufactures small motors and accessories for industrial and home products. the industry is highly competitive, and the company follows a prospector strategy. the objective of a prospector strategy is to find and exploit new products and market opportunities (gomez-mejia, galkin & cardy, 2001). a prospector wants to be first to market. to respond to competitive and rapidly changing markets, prospectors have flexible, flat and more decentralized organizational structures Carol works in the same company as Bob. She performs the same work, but receives a lower salary. This is an example of _____. Glucose provides energy for cells. Different cells have different mechanisms for glucose intake. Intestinal cells contain proteins that transport glucose against its concentration gradient. These proteins couple the movement of glucose to the movement of sodium down its concentration gradient. Red blood cells have transporter proteins embedded in their membranes. When bound by a glucose molecule, these proteins change shape and allow glucose to move down its concentration gradient into the cell.Based on this information, what type of transport is used for glucose in blood and intestinal cells?A. Blood cells take in glucose by active transport and intestinal cells take in glucose by passive transport.B. Both blood and intestinal cells take in glucose by active transport.C. Both blood and intestinal cells take in glucose by passive transport.D. Blood cells take in glucose by passive transport and intestinal cells take in glucose by active transport. Image-editing software is used to _____. A)create a printed document for sending on a fax machineB)enhance a photographC)design a floor plan of a buildingD)filter through large amounts of data Consider the poems. "She Walks in Beauty" by George Gordon ByronShe walks in Beauty, like the night Of cloudless climes and starry skies; And all that's best of dark and bright Meet in her aspect and her eyes: Thus mellowed to that tender light Which Heaven to gaudy day denies. One shade the more, one ray the less, Had half impaired the nameless grace Which waves in every raven tress, Or softly lightens o'er her face; Where thoughts serenely sweet express, How pure, how dear their dwelling-place. And on that cheek, and o'er that brow, So soft, so calm, yet eloquent, The smiles that win, the tints that glow, But tell of days in goodness spent, A mind at peace with all below, A heart whose love is innocent! An excerpt from "To Helen" by Edgar Allan Poe Helen, thy beauty is to me Like those Nicean barks of yore, That gently, o'er a perfumed sea, The weary, wayworn wanderer bore To his own native shore. On desperate seas long wont to roam, Thy hyacinth hair, thy classic face, Thy Naiad airs have brought me home To the glory that was Greece And the grandeur that was Rome. Lo! in yon brilliant window-niche How statue-like I see thee stand, The agate lamp within thy hand! Ah, Psyche, from the regions which Are Holy Land! Which statement best describes the subjects of the poems? A.The woman in Byrons poem is wealthy; the woman in Poes poem is powerful. B.The woman in Byrons poem is youthful; the woman in Poes poem is mature. C.The woman in Byrons poem is gentle; the woman in Poes poem is welcoming. D.The woman in Byrons poem is adventurous; the woman in Poes poem is wise.UPDATE: THE ANSWER IS C !!!!!! I PROMISE !! In Chapter 11, what important thing does Katniss NOT have that she needs to survive?A. An allyB. a district tokenC. bootsD. water 1. Find the area. The figure is not drawn to scale. 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Fill in blank A hypothesis is tested by ___.A.) conducting an experiment B.) making further observations C.) proposing a theory D.) talking with other scientists