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Use Case D to Answer the Following Questions

question 28

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Use Case D to answer The Following questions
CASE D
The dental hygienist observes an older adult client as he walks toward her. She notes that he uses a cane, walks slowly, and appears to be short of breath. As she reviews the health history with him, the client tells her that he takes a diuretic and a "drug for his heart," which she recognizes as an angiotensin-converting enzyme (ACE) inhibitor. His respirations are 26 per minute and shallow. Pulse rate is 90 beats per minute and regular. After consultation with the client's physician, who confirms that the client is being treated for congestive heart failure (CHF) but is healthy enough for routine dental treatment, the dental hygienist begins an initial assessment.
-When measuring blood pressure, how many additional mm Hg above the disappearance of the radial pulse should the cuff be inflated?


Definitions:

Cognitive-behavioral Therapy

A therapeutic approach that addresses dysfunctional emotions, maladaptive behaviors, and cognitive processes through goal-oriented, systematic procedures.

Adolescents

Individuals in the developmental stage that typically occurs between childhood and adulthood, marked by significant physical, psychological, and social changes.

Disruptive Mood Dysregulation Disorder

A childhood condition marked by severe and recurrent temper outbursts along with a persistent irritable or angry mood.

Bipolar Disorder

A mental disorder featuring profound changes in mood, encapsulating peaks of mania or hypomania and troughs of depression.

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