The red arrows indicate abnormal leukemic cells. White blood cells are impacted by a particular type of disease called leukaemia.
During a spinal tap, the physician aspirates a sample of the cerebrospinal fluid (CSF) and examines it for the presence of leukemic cells. Leukemic cells have an abnormal appearance and are usually larger than healthy white blood cells. They are easily recognized by their large, round nucleus and lack of a distinct cytoplasm. The red arrows indicate these abnormal leukemic cells.
The presence of these cells in the CSF suggests that the leukemic cells have spread from the blood to the central nervous system and a diagnosis of leukemia is made. Depending on the type of leukemia, the patient may require chemotherapy, radiation, or a bone marrow transplant.
The spinal tap is an important tool in diagnosing and treating leukemia as it can provide a direct sample of the CSF to help determine the extent of the disease.
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A nurse working in an acute care for elders unit observes that a client on the unit frequently stumbles when ambulating with a walker. Which action by the nurse is best
The nurse should assess the client's gait and balance, and document the observations. The nurse should also ask the client about any pain or discomfort they may be experiencing when ambulating.
If the client is experiencing pain or discomfort, the nurse should provide appropriate pain management and report it to the physician. The nurse should also assess the client's walker for proper fit and function, and make any necessary adjustments. If the client is still struggling with ambulation, the nurse should consider using an assistive device such as a rolling walker or a wheelchair, and consult with the physician and physical therapist. The nurse should also consider environmental factors that may be contributing to the client's unsteadiness and make necessary adjustments, such as providing additional lighting or removing obstacles.
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What are the main criteria for deciding whether a drug should be sold over the counter (OTC) or by prescription
which form of treatment is used to promote the healing process by dilating blood vessels which allows for more circulation to occur in the affected area.
Therapeutic ultrasound is used to promote healing by increasing circulation to the affected area.
What type of treatment is used to increase blood circulation to a specific area?Vasodilation is a type of treatment used to increase blood circulation to a specific area. This is a process in which the blood vessels in an area are widened, allowing for increased blood flow to the area. Other treatments used to increase blood circulation to a specific area include massage, exercise, and ultrasound therapy.
Massage is a type of treatment that can increase blood circulation to a specific area by applying pressure and manipulating the soft tissue. Exercise is another type of treatment that can increase blood circulation to a specific area. Exercise helps to increase the heart rate, which in turn increases blood circulation to the entire body.
Which drug class causes blood vessels to swell?These medicines are used to treat several ailments, including high blood pressure. Vasodilators are drugs that allow blood arteries to expand (dilate). They have an impact on the muscles that line the arteries and veins, preventing tightness and narrowing of the walls.
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Which finding would lead the nurse to suspect that a woman is developing a postpartum complication?
A) an absence of lochia
B) red-colored lochia for the first 24 hours
C) lochia that is the color of menstrual blood
D) lochia appearing pinkish-brown on the fourth day
An absence of lochia lead nurses to suspect that a woman is developing a postpartum complication. Women should discharge their after giving birth. No flow is abnormal; This indicates dehydration due to infection and fever.
What are the three postpartum periods?The postpartum period can be divided into three distinct periods; early or acute phase, 8 to 19 hours after birth; the subacute postpartum period, which lasts two to six weeks, and the late postpartum period, which can last up to eight months.
What is the most common cause of postpartum?After giving birth, a drastic drop in the levels of the hormones estrogen and progesterone in your body can contribute to postpartum depression. Other hormones produced by the thyroid gland can also plummet, leaving you feeling tired, sluggish, and depressed. Emotional problem.
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A 78-year-old client with congestive heart failure receives the cardiac glycoside digoxin (Lanoxin) 0.25 mg PO daily. Which observation by the nurse indicates that the medication has been effective
The observation by the nurse which would indicate that the medication has been effective would be Clear breath sounds anteriorly and posteriorly.
Congestive heart failure is the condition in which the heart is unable to pump sufficient amount of blood to the brain, body or lungs due to which the cardiac cycle is affected adversely. The use of cardiac glycosides helps in increasing the force exerted by the heart during pumping and also reduce the contractions which affect heart functions. Digoxin enhances the myocardial contractility by increasing cytosolic calcium. t is used to improve the strength and efficiency of the heart and its rate of beating.
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If phenobarbital has a four day half-life, and a client accidentally took 200 mg of the drug on Tuesday morning, and no intervention occurred, how much medication will remain in the bloodstream of that client on Thursday morning?
Assuming client's metabolism and the other variables remain the constant, approximately 100 mg of the medication that will remain in the bloodstream on the Thursday morning.
Metabolism is the process by which the body converts food and drink into energy. During this process, calories from food and drink mix with oxygen to create the energy your body needs. Even at rest, your body needs energy to do anything. Metabolism is the totality of chemical reactions that sustain life in living organisms. The three main functions of metabolism are: Converting energy in food into energy that cellular processes can carry out. Metabolism has two categories for her:Catabolic and anabolic. Catabolism is the breakdown of organic matter, and anabolism uses energy to build cellular components such as proteins and nucleic acids.
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A client has been prescribed a protein intake of 0.6 g/kg of body weight. The client weighs 154 pounds. The nurse calculates the daily protein intake to be how many grams
The daily intake of protein calculated by the nurse is 42 grams according to the client's weight. Protein-rich foods are required for muscle building and tissue repair.
Nutrients are chemical compounds that the body uses for a variety of purposes. Nutrients are classified into the following categories based on their functions, carbohydrate and fat-rich foods provide energy and heat to the body. Food rich in vitamins and other nutrients protects us from various diseases and aids in the utilization of other nutrients.
The chemical process by which the body converts nutrients from food and drinks into energy is known as metabolism. All organisms require energy to maintain their daily life functions. Catabolism and anabolism are the two stages of metabolism.
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Which developmental consideration is a nurse assessing when determining that an 8-year-old child is not equipped to understand the scientific explanation of the child's disease
If the 8-year-old child is not able to grasp the scientific reasoning for his condition, then the nurse is assessing Intellectual development. This is because intellect determines the ability to judge and understand complex topics.
Intellectual growth is all about giving a child's reasoning and problem-solving abilities a swift boost. Their memory, problem-solving ability, reasoning, and thinking capacities all work together to form who they are through time. It all comes down to how well a youngster develops their capacity for thought and reasoning. The child's capacity for intellect and reasoning displays the most substantial growth between the ages of six and eleven. The onset of formal academic education and the development of reading and writing abilities, to an unknown extent, boost this increase.
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A client cannot understand how syphilis was contracted because there has been no sexual activity for several days. Which length of time associated with the incubation of syphilis should the nurse include in the teaching plan
2-6 weeks is the length of time associated with the incubation of syphilis which the nurse should include in the teaching plan.
Syphilis is spread by the activity of sexual contact, when it forms into an an infection. The complaint starts as a effortless sore — generally on the genitals, rectum or mouth. Syphilis spreads from person to person via skin or mucous membrane contact with these blisters.
Studies have shown that sexual activity is extremely salutary to our health. sexual activity activates a variety of neurotransmitters that impact not only our smarts but several other organs in our bodies. The benefits of sexual activity for women include Lower blood pressure.
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What is the primary goal of a triage system used by the nurse with patients presenting to the emergency department
The primary goal of a triage method utilized by nurses with patients arriving to the emergency department is to identify the severity of the client's condition in order to establish priority of care.
In the emergency room, "triage" refers to the procedures used to quickly assess patients' degree of injury or sickness, assign priority, and move each patient to a right facility for care. ED prioritization is a systematic method of sorting and categorizing patients based on the severity of their sickness or damage.
The major purpose of the triage method is to assist the ED nurse in prioritising care based on the acuity of the patient, with clients with more serious illnesses or injuries examined first. The core survey includes questions on the airway, breathing, and circulation. The primary purpose is not to determine response during the disability stage of the primary survey. Triage does not aim to evaluate the ED's resources.
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Which code would be supported as a medical necessity for a male patient with a diagnosis of hypercholesterolemia
80061 code would be supported as a medical necessity for a male patient with a diagnosis of hypercholesterolemia
What exactly is hyperlipidemia?
Your low-density lipoprotein (LDL), or bad cholesterol, is excessively high, which is a lipid condition known as hypercholesterolemia. Your risk of heart attack and stroke increases as a result of the accumulation of fat in your arteries (atherosclerosis). Cardiovascular disease, which accounts for more fatalities globally than any other condition, is mostly brought on by atherosclerosis.
What is regarded as having high cholesterol?
Depending on your other cardiovascular disease risk factors, your doctor may define hypercholesterolemia differently.
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What communication barriers might exist between patients and healthcare workers?
The communication barriers which might exist between patients and healthcare workers include the following below:
Competing demandsLack of privacyBackground noiseWhat is Communication?This is referred to as the act of transferring information from one place, person or group to another and it involves the use of various medium and methods such as mass media, talking etc.
In a healthcare facility such as in a hospital, information is usually passed verbally which involves the speaking of words for better understanding as different topics are explained thoroughly.
However, there may be some communication barriers which may hinder a patient or worker from hearing one another such as background noise from other rooms and also lack of privacy.
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The characteristics of type one diabetes…
Answer:
Symptoms
Feeling more thirsty than usual.Urinating a lot.Bed-wetting in children who have never wet the bed during the night.Feeling very hungry.Losing weight without trying.Feeling irritable or having other mood changes.Feeling tired and weak.Having blurry vision.
A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the client
The medication which the nurse must prepare to administer to the client is calcitonin (miacalcin), which means option C is the right answer.
Thyroid gland is present near the neck region, which secretes hormone called as thyroxin. It is an endocrine gland. In hyperthyroidism excess amount of this hormone is secreted due to which the metabolism of the body becomes very high, and person may suffer from loss of weight, irregularity in heartbeats etc. Hyperparathyroidism is often confused with it. It is caused due to excess secretion of parathyroid hormone by the parathyroid gland. In it, symptoms like chronic fatigue, body aches, difficulty sleeping, kidney stones and osteoporosis are observed. Calcitonin regulates calcium usage by the body.
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A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the client?
1. Calcium chloride
2. Calcium gluconate
3. Calcitonin (Miacalcin)
4. Large doses of vitamin D
A nurse is performing eye irrigation for a client who has been exposed to smoke and ash. Which action should the nurse take?
a. Hold the irrigator 1.25 cm (0.5 in) above the eye.
b. Direct the irrigation solution upward toward the upper eyelid.
c. Exert pressure on the bony prominences when holding the eyelids open.
d. Direct the irrigation from the outer canthus to the inner canthus of the eye.
Eye irrigation is method of cleaning of the conjunctiva sac by a stream of liquid.
The following solution can be used:
1. Plain water to clean the eye should be used.
2. Normal saline also known as (sodium chloride).
3. Boric acid 2%, as a sanitized.
4. Silver nitrate 1%, is as an sanitizes.
Here are the general instructions.
1. Maintain aseptic technique throughout the procedure to safe introduction of infection into eye.
2. Use only sterile articles and result for eye irrigation.
3. Never ever touch eye with irrigator.
4. Test temperature of the answer at the inner surface of the wrist.
5. Move of the fluid should be from inner canthus to the outer canthus to prevent forcing the infection into the nasolacrimal duct.
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A 23-year-old primigravida is at her first prenatal appointment today. Ultrasound indicates that she is at 9 weeks' gestation. She asks when she can first expect to feel her baby move. What is the best response by the nurse
The best response by the nurse to a 23-year-old primigravida is "Many women are able to first feel light movement between 18 and 20 weeks."
The first prenatal appointment generally takes place in the alternate month, between week 6 and week 8 of gestation. Be sure to call as soon as you suspect you are pregnant and have taken a gestation test. Some interpreters will be suitable to fit you in right down, but others may have delays of several weeks( or longer).
Ultrasound, also called sonography or individual medical sonography, is an imaging system that uses sound swells to produce images of structures within your body. The images can give precious information for diagnosing and directing treatment for a variety of conditions and conditions.
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Which of the following is the best definition of communication?
Exchanging messages
Texting someone
Persuading someone of your viewpoint
Simplifying information for a lay audience
Read Question
Answer:
Simplifying information for a lay audience
Explanation:
texting someone is non verbal communication same goes for exchanging messages
I think the fourth one would be the best definition of communication
Trevor is assigned to the immunization station at the health drive where he is responsible for administering vaccines to the children. Immunizations are an example of
Immunizations are an example of a primary prevention technique that aims to prevent the spread of viral diseases. The dead or inactivated viral particles are introduced into the body to develop primary immunity.
Primary prevention is to promote health and involves health education initiatives, vaccinations, and physical and dietary fitness routines. It can be given to an individual and consists of activities aimed at preserving or enhancing people's overall well-being, as well as the health of their families and communities. Additionally, it incorporates certain safeguards like hearing protection in professional contexts. This system will coordinate an immune response when it is exposed to molecules that are non-self, or alien to the body, and it will also improve its capacity to react swiftly to a repeat encounter due to immunological memory. The immune system's adaptive role is this.
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pressure of normal uterine contractions is between 190 - 300 units. it will be expressed as:
1. Montevideo units
2. mm of hg
3. cm of water
4. joules/kg
Pressure of normal uterine contractions is between 190 - 300 units. it will be expressed as Montevideo units.
Option 1 is correct.
What is Montevideo units?Montevideo units are described as a method of measuring uterine performance during labor which were created in 1949 by two physicians, Roberto Caldeyro-Barcia and Hermogenes Alvarez, from Montevideo, Uruguay.
Uterine contraction is the tightening and shortening of the uterine muscles.
During labor, uterine contractions accomplish two things:
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A school-aged child is admitted to the pediatric unit with the diagnosis of a brain tumor. During breakfast the child vomits. What are the priority nursing interventions
After being diagnosed with a brain tumor, the child vomited during breakfast. In such a situation the nurse should first inform the health care in charge and should then request a reevaluation to assess the severity of the condition.
A growing brain tumor occupies more and more area inside the skull, raising intracranial pressure. Nausea may result from this increased pressure. Hormone levels can be impacted by brain tumors, which can make a person feel queasy. Brain tumor-related general signs and symptoms may include:
A headache's new onset or pattern change.headaches that gradually get worse and occur more frequently.vomiting or nausea without cause.vision issues including double vision, blurry vision, or reduced peripheral vision.gradual loss of feeling or motion in a leg or arm.Problems with equilibrium.speech impediments.To know more about brain tumor, please visit
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this form of treatment uses sound energy from high-frequency sound waves to treat pain, relax muscles spasms. stimulate circulation, and break up calcium deposits and scar tissue.
The therapy used in this case is USG therapy.
USG therapy uses high-frequency sound waves to generate heat which can reduce pain. It can be used to treat conditions such as musculoskeletal injuries, arthritis, and fibromyalgia.
Ultrasound therapy is carried out using a transducer attached to the patient's skin. The use of gel is required on the transducer head to reduce friction between the transducer and the skin, as well as to help transmit ultrasonic waves.
Ultrasonics have a frequency above the waves that humans can hear, which is above 20,000 Hz.
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If Miguel does not order all the supplies, how will he know which ones should be ordered?
Answer: by checking his list
Explanation:
Marissa consumes 2,000 Calories a day. Per the Acceptable Macronutrient Distribution Range, how many Calories should come from protein
Marissa consumes 2,000 Calories a day. Per the Acceptable Macronutrient Distribution Range, 50g - 175g Calories should come from protein.
A 2,000-calorie diet consisting of 40% carbohydrates, 30% protein and 30% fat. In this case, your recommended daily carbohydrate consumption would be 200 grams, 150 grams of protein, and 67 grams of fat.
Calories are energy units produced by your body when it digests or absorbs food. The higher a food's calorie count, the more energy it may provide to the human body. When someone consumes more calories than their body needs, the extra calories are stored as fat. Even fat-free meals might contain a lot of calories.
The macronutrients are carbohydrates, fat, and protein. They are indeed the nutrients that humans consume the most of. "Macronutrients are the nutritional components of food that the body requires for energy and to sustain the body's structure and processes".
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In patients at risk for meningitis/encephalitis, symptoms of headache, nausea, visual and gait disturbances are indications of:
In patients at risk for meningitis/encephalitis, symptoms of headache, nausea, visual and gait disturbances are indications of Increased intracranial pressure.
The pressure imposed by fluids such as cerebrospinal fluid inside the skull and on brain tissue is known as intracranial pressure. ICP is measured in millimetres of mercury and is typically 7-15 mmHg for a supine adult at rest. The body uses a variety of methods to maintain the ICP steady, with CSF pressures changing by roughly 1 mmHg in normal individuals due to changes in CSF production and absorption.
Changes in ICP are related to volume changes in one or more of the cranium's components. CSF pressure has been demonstrated to be affected by sudden changes in intrathoracic pressure during coughing, the valsalva manoeuvre, and vascular communication. Intracranial hypertension, also known as increased ICP or raised intracranial pressure, is a rise in cranial pressure. ICP is generally 7-15 mm Hg; above 20-25 mm Hg, the maximum range of normal, ICP therapy may be required.
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A client suspected of having a hyperactive thyroid is scheduled for protein-bound iodine, T3, and T4 laboratory tests. Which question would the nurse ask the client to ensure accuracy of the test
The most probable question which the nurse would ask to the patient suffering from hyperactive thyroid is about the use of radiopaque dye in X-rays, which means option D is correct.
Hyper active thyroid or hyperthyroidism is the condition in which excess of thyroxine hormone is produced by the thyroid gland due to which the rate of metabolism increases abruptly and body suffers from low weight, weakness etc. In such patients, PBI (Protein bound iodine) test are preferred in which the main aim is to detect the thyroid function by measuring the concentration of iodine bound to proteins circulating in the bloodstream. Iodine is essential for thyroid hormone synthesis and excess of iodine in the body causes the situation of hyperthyroidism to occur.
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A client suspected of having a hyperactive thyroid is scheduled for protein-bound iodine, T3, and T4 laboratory tests. What should the nurse ask the client to ensure accuracy of the test?
A. Allergies to seafood
B. Consumed more protein than usual
C. Had anything to drink before the test
D. Had recent x-rays using radiopaque dye
explain the differences between cervical, thoracic, and lumbar vertebrae. What is the function of intervertebral discs? What is a slipped disc?
The vertebrae are those bones that will form the vertebral column and that will give protection to the spinal cord.
What will be the differences between the vertebrae?The vertebrae will have differences depending on the sector in which they are. The cervical vertebrae will have a more elongated shape at their ends, the thoracic vertebrae will be more rounded and will have faces to fit with the ribs, the lumbar vertebrae will be much more voluminous in the part of the body since they will have to support the weight of the body.
As for the intervertebral discs, they are those that will allow the spine to have flexibility and cushion the blows and pressures that exist between them. When these discs have a weakness in any of their parts due to an injury, a herniated disc can be generated that will cause a part of the disc to protrude and compress nearby nerves or the spinal cord.
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During his appointment, your client appears anxious. He begins to cough and wheeze, experiences dyspnea, and begins to appear cyanotic. What emergency treatment should be initiated with this client
The emergency treatment which should be initiated with the client is to advice him to go for full body check up so as to determine which disease they are suffering from actually.
A person who is anxious and coughing or wheezing must be suffering from asthma and in such patients utmost care is to be taken to ensure that they are able to breath properly and the medication through inhalers is present with them in all times. In sudden asthma attacks, the person should be given open environment and asked to sit straight and undergo deep breathing until they get their prescribed inhalers. Inhalers are devices that let you breathe in medicine, are the main treatment.
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What effect on sodium and chloride ions would a patient with Addison's disease (decrease in aldosterone secretion) experience
A decrease in aldosterone production (e.g., Addison disease) causes increased sodium loss from the kidney and hyponatremia.
Dehydration and electrolyte imbalances come from aldosterone deficit, which promotes urine loss of salt, chloride, and water. Addison's disease, also known as primary adrenal insufficiency, is a rare long-term endocrine illness marked by insufficient synthesis of the steroid hormones cortisol and aldosterone by the two outer layers of the adrenal gland cells, resulting in adrenal insufficiency. Symptoms often appear gradually and insidiously, and may include stomach discomfort, gastrointestinal problems, weakness, and weight loss.
Addison's disease is caused by adrenal gland abnormalities that result in insufficient production of the steroid hormones cortisol and potentially aldosterone. It is a genetically predisposed autoimmune condition in which the body's own immune system has begun to target the adrenal gland. While it can occur after TB, in many adult instances, the cause of the condition is unknown.
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In 1980 Medicare authorized implementation of ambulatory surgical center (ASC) __________ rates as a fee to ASCs for facility services furnished in connection with performing certain surgical procedures.
In 1980, Medicare authorized the implementation of ambulatory surgical center (ASC) payment rates as a fee to ASCs for facility services furnished in connection with performing certain surgical procedures.
This means that Medicare would provide reimbursement to ASCs for the use of their facilities when certain surgical procedures were performed. This authorization was a recognition by Medicare of the cost-effectiveness and quality of care provided by ASCs, and it helped to further establish ASCs as an alternative to hospital-based outpatient surgery. This reimbursement policy helped to increase the number of ASCs and the variety of procedures performed in them, and it also helped to reduce the overall cost of care for Medicare beneficiaries. This also means that ASCs were reimbursed for their space usage and not for the surgical procedures itself which are covered by other reimbursement schemes.
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Which of the following would be most effective in implementing the findings of a new clinical treatment for problems associated with bowel motility for the staff nurses
Effective implementation would involve staff education and ongoing support, as well as clear communication and guidelines.
Staff education: Nurses should be provided with comprehensive education on the new treatment, including how it works, how to administer it, and any potential side effects.
Ongoing support: Nurses should have access to ongoing support and guidance as they begin to use the new treatment in practice.
Clear communication and guidelines: The new treatment should be clearly communicated and guidelines should be established for the nurses to follow.
Encourage feedback: Nurses should be encouraged to provide feedback on their experiences with the new treatment and share any challenges or successes they encounter.
Regular monitoring and evaluation: Regular monitoring and evaluation of the treatment should be done to ensure that it is safe and effective for patients.
It is important to keep in mind that the implementation of new treatments may require a cultural change within the organization, so it's important to involve all stakeholders, including nurses, physicians, and administrators, in the implementation process. Clear communication and ongoing support will be crucial to the success of the implementation and the adoption of the new treatment by the staff nurses.
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