From 2010, Medicare stopped paying for all consultation codes from the CPT evaluation and management, except for telehealth consultation G-codes.
As of the first of the year 2010, the Centers for Medicare & Medicaid Services (CMS) stopped providing coverage for consultation codes. It is difficult enough to comprehend the coding policy; but, today there is a mix of the coverage policy and the coding policy, and one is required to differentiate between the two.
CMS has removed funding for consultation codes and transferred their relative value units (RVUs) to other assessment and management codes. CMS has said that it does not feel there is much effort involved in the consultation codes beyond the routine evaluation and management activities related to report writing.
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When an individual develops a tolerance for a drug after repeated use (and needs more and more of the substance to get the same effect), this could be explained by?
When an individual develops a tolerance for a drug after repeated use (and needs more and more of the substance to get the same effect) is called habituation.
Habituation is the term used to refer to psychological dependence on a drug or
Becoming accustomed to any behavior or condition, including psychoactive substance use.
Habituation results in drug tolerance which is a person's diminished response to a drug, which occurs when the drug is used repeatedly and the body adapts to the continued presence of the drug.
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a nurse is assessing a client who is at 36 weeks of gestation. which of the following findings should the nurse identify as a potential prenatal complication
The six biggest and most common complications in pregnancy are
Threat of premature birth. Iron deficiency anemia in pregnancy. Gestational diabetes. Eclampsia.placenta previa. Toxoplasmosis.What are obstetric complications?Obstetric complications refer to interruptions and disturbances of pregnancy, labor and birth, and the early neonatal period.
With this information, we can conclude that Complications can be many and diverse in the prenatal period, so uninterrupted medical follow-up is important.
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Consider our Moon, a white dwarf, and a neutron star. Which of the following lists them in the correct order of size (diameter), from smallest to largest
Neutron star, moon and the white dwarf is the correct order from smallest to largest.
What is the size of Neutron star, moon and the white dwarf?The size of neutron star is 20 kilometers, the size of moon is 3,474.8 km and the size of a white dwarf is 4,300 kilometers. According to this data, neutron star is the smallest one which is followed by moon and the biggest one is the white dwarf star. We know that more in diameter represents more in size and less in diameter shows less in size.
So we can conclude that neutron star, moon and the white dwarf is the correct order from smallest to largest.
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A client has been taking a selective serotonin reuptake inhibitor (SSRI) for the treatment of depression. Which represents the action of the medication
SSRIs that prevent serotonin from being reabsorbed and represent the action of the medication.
Selective serotonin reuptake inhibitors (SSRIs):The most often prescribed antidepressants are selective serotonin reuptake inhibitors (SSRIs). They have the ability to lessen the symptoms of moderate to severe depression, are generally safe, and have fewer adverse effects. By raising serotonin levels in the brain, SSRIs alleviate depression. One of the chemical messengers, or neurotransmitters, that communicate between brain nerve cells is serotonin (neurons).
Serotonin reabsorption (reuptake) into neurons is inhibited by SSRIs. As a result, there is more serotonin accessible, which enhances neural communication. Because they primarily impact serotonin and not other neurotransmitters, SSRIs are referred to as selective. In addition to treating depression, SSRIs can also be used to treat anxiety disorders.
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The nurse is reviewing home instructions with a client who just underwent cataract surgery with intraocular lens implantation. Which of the following client statements indicate appropriate understanding of the teaching
The client must be advised that lifting, pulling, or pushing anything heavier than 15 pounds may put pressure on the affected area of the eyes after surgery.
What is meant by cataract surgery?
Cataract surgery entails removing the clouded, opacified lens that causes blurry and perplexing vision and replacing it with an optical device (an intraocular lens, commonly known as an IOL).Advice for the patient:
After surgery, the individual is mandated to wear sunglasses outdoors and a cap at bedtime.Post-surgery, the client must notify their physician if they develop any new symptoms, including a reaction to light or any other ailment. During the first week, avoid getting liquid, soaps, conditioner, spray, and creams in the eyes.Learn more about the surgery here:
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Demographics and Outcomes of Hospitalized Influenza and Pneumonia Patients with Pulmonary Heart Disease and Diseases of Pulmonary Circulation: A National Inpatient Sample Analysis
Answer:
Can you be more clear with your question :
The spouse of a client who was struck by lightning asks the nurse why the areas involved seems so small but the damage is extensive. Which is the best explanation from the nurse
Electrical burns usually follow an internal path.
What are the damages caused by a lightning strike on humans?While only 10% of those who are struck by lightning die, many of the 90% who do survive have long-term difficulties.
Depending on the sort of lightning hit and the amount of electricity passing through the body, several effects might result from a lightning strike.
Lightning can destroy tissue, leave deep wounds, and result in skin burns. Additionally, the electrical current may result in a sort of scaring called Lichtenberg figures (branching electric discharges). Unusual fractal patterns emerge as a result of blood vessel destruction that occurs when the lightning current passes through the body to describe this sort of scarring.
A lightning strike can halt the heart, leading to cardiac arrest. It may also result in pulmonary edema and arrhythmias.
Brain injury and a variety of neurological disorders may be brought on by lightning strikes. A person may suffer from spinal cord injuries, go into a coma, feel pain, numbness, or weakness in their limbs, or have sleep or memory issues.
A lightning strike could harm the ear and impair hearing. Additionally, it may result in blindness, corneal damage, and vertigo.
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The obesity pandemic is primarily due to Group of answer choices the production of high-calorie, low-fat foods even though people still have a high exercise level. a lack of physical exercise. a combination of lower calories and more exercise. the increased ability to produce and consume inexpensive, high-fat foods.
The increased ability to produce and consume inexpensive high-fat food causes the obesity pandemic.
Obesity has now become the most spread chronic disease globally which occurs due to the storage of excessive amounts of fat in the body. The USA and Europe are the first countries for the high cases of obesity and overweight population. This disease is caused by consuming high-fat foods, processed marketed foods and drinks, and very less physical activity. This results in weight gain, increasing the risk of cardiovascular diseases, type 2 diabetes, depression, cholesterol, hypertension, etc., Other factors like environmental and genetics can also increase obesity.
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What would be the calculated minimally acceptable systolic blood pressure for a 9-year-old girl who has a significant bleed following an injury involving broken glass
The lower limit (5th percentile) of systolic blood pressure can be estimated with this formula: 70mm Hg + (2 x age in years).
Thus, according to the question:
Systolic blood pressure = 70mm Hg + (2 x 9)
= 70mm Hg + 18
= 88mm Hg {answer}
Blood pressure can define as the pressure exerted by flowing blood on the walls of the veins and arteries of the body. It is measured in two terms: systolic blood pressure and diastolic blood pressure.
Systolic blood pressure measures the pressure exerted by blood in the arteries when the heart pumps the blood into it whereas diastolic blood pressure measures the pressure exerted by the blood when the heart is at resting between the beats and not pumping the blood.
Normal systolic blood pressure reads 120 and normal diastolic blood pressure reads 80. So the overall normal blood pressure will be "120/80 mmHg" where mmHg is the unit in which the Blood pressure is measured.
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Sonkoly 2008. MicroRNAs and immunity: novel players in the regulation of normal immune function and inflammation
The discovery of microRNAs (miRNAs) is one of the major scientific breakthroughs in recent years and has revolutionized the way we look at gene regulation.
What is MicroRNAs ?microRNA is the name of a family of molecules that helps cells control the kinds and amounts of proteins they make
That is, cells use microRNA to help control gene expression. Molecules of microRNA are found in cells and in the bloodstream.The miRNA functions as a guide by base-pairing with target mRNA to negatively regulate its expression.Learn more about MicroRNAs here:
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A nurse is providing discharge teaching to an older adult client following total hip arthroplasty. Which of the following instructions should the nurse include in the teaching
Maintaining hip flexion at 90 degrees or less when sitting is the appropriate instructions in which the nurse should include in the teaching to the individual who just went through total hip arthroplasty.
What is Arthroplasty?This is a medical procedure which involves remodeling of the joint so as to restore its functions. The damaged joint is usually replaced with an artificial one in this scenario thereby ensuring certain types of movements are restored.
The individual should always maintain a hip flexion at 90 degrees or less when sitting so as to prevent the joint from being stressed which helps maintain its functions. This should also be done to avoid the incidence of the dislocation of the joint.
This is therefore the reason why maintaining a hip flexion at 90 degrees or less is the most appropriate choice.
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What test is used to test coagulation in the blood and what complications can occur if the lab is abnormal?.
Answer:
Glucose estimation test
hypoglycemia or hyperglycemia
Explanation:
if the Glucose concatenation is very low can cause lost of conscious
The "Prothrombin Time" (PT) test, which is frequently done alongside the "International Normalized Ratio" (INR), is used to assess blood coagulation. These tests evaluate the efficiency of the blood coagulation process. The PT/INR test is frequently used to assess how well blood-thinning medications like warfarin (Coumadin) are working as well as to identify diseases that affect blood clotting, such as liver illness, vitamin K insufficiency, or clotting disorders.
Atypical PT/INR readings can point to a number of blood clotting-related issues, including:
PT/INR levels that are too low indicate that blood clotting may be happening too easily, which raises the danger of blood clots. A deep vein thrombosis (DVT), pulmonary embolism, or stroke may result from this.
Bleeding Tendency: If the PT/INR levels are excessively high, it means that the blood is clotting abnormally slowly. As a result, there may be a predisposition to bleed excessively from even little wounds. Internal hemorrhage or brain bleeding could occur in severe circumstances.
Medication management: For patients using anticoagulant drugs like warfarin, the PT/INR test is essential. A patient may be at risk of bleeding if the levels are too high, while levels that are too low may not be effective in preventing clot formation. It's critical to maintain the proper range to avoid problems with clotting and bleeding.
Abnormal PT/INR readings may be a sign of liver disease in cases of liver dysfunction. Numerous clotting components are produced by the liver, and liver disease can cause abnormalities in the blood clotting process.
Vitamin K Deficiency: Proper blood coagulation activity depends on having enough vitamin K in the body. Atypical PT/INR values can be caused by low vitamin K levels, which are frequently the result of a poor diet, malabsorption, or pharmaceutical interactions.
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the nurse is teaching the mother of a toddler with celiac disease the specific foods allowed on the gluten-free diet. which is the most important information for the nurse to help the mother udnerstand
The nurse is explaining the specific foods that fall within the gluten-free diet to the mother of a toddler who has celiac disease.
To prevent symptoms and damage to the small intestine, it is crucial for the nurse to advise the mother to feed her kid a gluten-free diet.
Gluten, a protein present in wheat, barley, and rye, causes celiac disease, also known as celiac sprue or gluten-sensitive enteropathy, which is an immunological response to consuming it. Eating gluten inflicts an immunological reaction on a person with celiac disease in their small intestine. Gluten can harm you in even little amounts. Steer clear of anything that contains wheat, rye, or barley. These grains are frequently used to make foods including crackers, bread, bagels, spaghetti, pizza, and malted breakfast cereals.
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Modern epidemiology involves history since finding the causes of chronic diseases requires looking back for _________________________.
Modern epidemiology involves history since finding the causes of chronic diseases requires looking back for decades.
In the past, infectious diseases, which were the leading cause of death, were the primary focus of epidemiological research. This was especially true after the advent of urbanization when populations began to concentrate in cities. Better hygiene, vaccination rates, and antibiotics were able to put an end to the epidemics.
Epidemiology gradually evolved into the study of the causes, the distribution, the risk factors, and the prevention of chronic diseases, but it also expanded to include the study of diseases with a mass occurrence at the population level, such as depression, and accidents. The medical community has slowly come around to the idea that diet plays a significant role in overall health, but they continue to give it less weight than it deserves.
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A client with newly diagnosed type 2 diabetes is admitted to the metabolic unit. The primary goal for this admission is education. Which goal should the nurse incorporate into her teaching plan
Reducing one's weight through food and activity
There are various ways that exercise combats the consequences of type 2 diabetes. As a result, the cells are better equipped to utilise whatever insulin that is present to absorb glucose from the blood. Additionally, even in the absence of insulin, muscle cells can still absorb glucose when they contract during exercise.
What is Type 2 diabetes ?A disorder in the body's ability to control and utilise sugar (glucose) as fuel is type 2 diabetes.
This chronic (long-term) disorder causes the bloodstream to circulate with an excessive amount of sugar. Over time, cardiovascular, neurological, and immune system issues might result from excessive blood sugar levels.Learn more about Type 2 diabetes here:
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During a well-child visit, the nurse would ask about which developmental milestones in a 13-month-old toddler
Is 13 month old a toddler?
Your 13-month-old child's growthAs toddlers enter their second year, their rapid growth starts to ramp down. From now on, you can expect your little one's growth to be slow and steady — at least until your child reaches the 'tween years.How often should a 13 month old eat?
The best schedule is usually one that includes three meals and two to three snacks, with eating opportunities spaced about two to three hours apart.
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According to the wellness recovery action plan (wrap) model, which information is included in the third part of the crisis planning step?
According to the wellness recovery action plan (wrap) model, third step-trigger information is included in the third part of the crisis planning step.
Third step refers to triggers, where the client lists the events that cause discomfort and develops a plan to overcome these triggers.
WRAP is a wellness and recovery approach that helps people to:
1) Decrease and prevent intrusive or troubling feelings and behaviors
2) Increase personal empowerment
3) Improve quality of life
4) Achieve their own life goals and dreams.
WRAP was founded in Vermont, USA, in 1997.
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An invasive imaging technique that provides color-coded images of brain activity by tracking the brain’s use of a radioactively tagged compound, such as glucose, oxygen, or a drug, is called?
An invasive imaging technique that provides color-coded images of brain activity by tracking the brain’s use of a radioactively tagged compound is positron emission tomography.
What is positron emission tomography (PET)?Positron emission tomography (PET) is a methodology used in clinical settings to identify a given reactive isotope.
Positron emission tomography may result very useful to observe in vivo a given physiological mechanism.
In conclusion, an invasive imaging technique that provides color-coded images of brain is positron emission tomography.
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child is exhibiting increasingly abnormal breathing patterns and the breaths are shallow. There are unusual lung sounds upon observation. What is the most likely problem associated with these symptoms
If a child is exhibiting increasingly abnormal breathing patterns and the breaths are shallow. There are unusual lung sounds upon observation. These are symptoms of development of bronchitis.
Bronchitis is a disease of the lungs where the bronchi are effected. This blocks the main air passage of the lungs and sequentially results in inflammation of the lungs. Bronchitis is common in children and infants and is usually easily curable. As the airway is inflamed it narrows the passage for air to pass through. This is the reason for shallow breaths and unusual lung sounds. The most common cause of bronchitis in children are viral infections. It might also be caused due to bacterial infection by spores or from various different allergens.
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Drugs to treat systemic fungal infections can be toxic to the host and are not used indiscriminately. Which are factors considered before an antifungal is prescribed
Factors considered before an antifungal is prescribed to treat systemic fungal infections are:
Checking previous allergic conditions which can affect the treatment.Possible side-effects of the drug.Can antifungal medicine may interact with other medicines a patient is taking.Checking pregnancy conditions because they may affect the fetus or breastfeeding.Systemic fungal infections are defined as invasive fungal infections which originate at a particular place in the body but have the ability to spread to other parts as well. Examples are aspergillosis and other mold infections as a result of inhalation; candidaemia as a result of infected lines or leakage from the gastrointestinal tract.
Improper medication for systemic fungal infections can lead to Infusion-related toxicity, Nephrotoxicity, including hypokalemia, liver function abnormalities, skin rash, visual disturbances, etc.
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The nurse is caring for a client diagnosed with enlarged adenoids. What condition is produced by enlarged adenoids
Noisy breathing is produced by enlarged adenoids.
The lymphoid adenoids are located in the upper airway between the back of the throat and the nose. They resemble tonsils in appearance. Adenoids that are enlarged indicate swelling tissue. The tonsils, esophagus, trachea, and epiglottis are among the components of the throat.
Snoring, mouth breathing, chronic congestion, nasal discharge, ear issues, sinusitis, and "nasal" voice quality can all be signs of an enlarged adenoid.
The rear of the mouth and on either side of the throat are home to the tiny, rounded tonsils. The adenoid is a mass of tissue that is situated above the roof of the mouth, behind the nasal cavity. Adenoids and tonsils combat infections and can expand if they do so.
A bacterial infection, such as one with the bacteria Streptococcus, may be the cause of adenoiditis. Adenovirus, rhinovirus, and Epstein-Barr virus are just a few of the viruses that might cause it.
Enlarged adenoid symptoms are:
breathing through the nose is challenging.Poor breath and chapped lips as a result of mouth breathing.having a compressed or stuffed-nose sound.recurring nasal issues.Snoring.Obstructive sleep apnea or restless sleep.middle ear infections that recur or fluid buildup in children at schoolTo know more about adenoids refer to: https://brainly.com/question/14816200
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A person who regularly consumes fish such as shark, king mackerel, and swordfish is at risk for ingesting potentially toxic amounts of
Mercury is ingested in the excess amount by the person who consumes shark, king mackerel, and swordfish.
Eating seafood is good for health like fish etc. As they are a high source of proteins and omega-3 fatty acids. Mercury is a toxic metal that when ingested causes poisoning and neurological diseases which lead to sudden death. Pregnant, nursing women and children should avoid eating fish in their diet. Larger fishes like Shark, and King mackerel feed on the small fishes due to which they have high mercury content. Mercury poisoning causes symptoms like- memory loss, numbness in the limbs, and deterioration the brain development.
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Rather than simply informing people in a community about health risks, you would like to help them build a sense of community and establish resources for addressing ongoing concerns that are important to them. You are thinking in terms of:
Social capital
What is social capital?A beneficial outcome of interpersonal connection is referred to as social capital. The beneficial result could be measurable or intangible and could consist of future opportunities, creative ideas, and important knowledge.
It can be used to describe how interpersonal connections and networks both inside and outside of an organization contribute to the success of that company. It can also be used to define the interpersonal connections among personnel within a business that contribute to the development of trust and respect, which improves business performance.
A group of individuals can collaborate successfully to accomplish a common objective or goal thanks to social capital. Through mutual respect, a sense of common identity, conventions, and values, it enables a community or organization—such as a business or nonprofit—to work as a unit. Simply said, social interactions allow social capital to positively impact society as a whole.
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If you misuse drugs for whatever reason, some places where you can get help include?
A nurse in the cardiac catheterization lab implements a new procedure for achieving hemostasis of the cardiac catheter insertion site. Which of the following is a distinguishing characteristic of a new standard of care
The characteristics that is used is predetermined which is used to distinguish the characteristics for implementing the new standard of care.
What is cardiac catheterization?Cardiac catheterization is defined as the process or a diagnostic procedure that involves to the placement of a catheter in the heart blood vessel or chamber for an effective drainage following a surgical procedure.
Hemostasis usually occurs at the site of the cardiac insertion there research is being constantly done to minimise this effect.
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Four clients enter the pediatric emergency department at the same time. Which client should the nurse see first
The nurse must first see what is at greatest risk of life.
Which client should the nurse assess first?The nurse should first assess the client showing symptoms of a deep venous thrombosis (DVT) (eg, unilateral edema , warmth, redness , tenderness on palpation).
Which patients should be seen first?In triage, a nurse typically prioritizes each patient's condition into one of three general categories:
Immediately life threateningUrgent, but not necessarily immediately life threateningLess urgent.With this information, we can conclude that The first phase of the nursing process is the assessment phase. In this phase, the nurse collects and organizes data related to the patient. Data includes information about the patient, family, caregivers, or the patient's community or environment as it is relevant to his health and well-being.
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When the nurse gives a client and family instructions after laryngeal surgery, which does the nurse indicate should be avoided
Hand-held showers, Wearing a scarf over the stoma, Swimming, Coughing.
StomaA stoma is an opening on the abdomen that can be attached to either your urinary or digestive systems to allow waste (feces or urine) to be diverted out of your body. It appears as a little, round piece of flesh that is sewed to your body and is reddish in color. Wearing a pouch—which may be closed or have a bottom opening—over the top of your stoma is required. You shouldn't experience any pain because your stoma lacks nerve endings. Your need for a stoma could arise for a variety of factors. Bowel or bladder obstructions are common causes, as are bowel or bladder cancer, diverticulitis, inflammatory bowel disease, or adenovirus infections. Depending on the reason, a stoma may be transient or permanent.
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A charge nurse has one private room available on her unit to accommodate a client who needs airborne precautions. Which of the following clients should the charge nurse assign to the room
The client that the nurse should assign the room is the client that is suspected to have tuberculosis.
What is tuberculosis?Tuberculosis is defined as the disease condition that is caused by bacteria microorganisms known as mycobacterium tuberculosis.
Airborne diseases are those diseases that are being transferred from one person to another through the air.
These patients should be kept in a private room that the air movement can be monitored.
The airborne diseases are those diseases that can be discharged from an infected person through the following:
coughing, sneezing, laughing and close personal contact with the infected patient.Tuberculosis is a typical example of an airborne disease.
Therefore, client that are suspected to have tuberculosis should be kept in a private room that provides airborne precautions.
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Treatment for decompression sickness may require recompression in a hyperbaric chamber. Select one: True False
True, Treatment for decompression sickness may require recompression in a hyperbaric chamber.
What is decompression sickness?Decompression sickness (DCS) occurs when dissolved gases (usually nitrogen or helium, used in mixed gas diving) exit solution and form bubbles inside the body on depressurization.It is also called bends or caisson disease.DCS occurs from underwater diving decompression (ascent), working in a caisson, flying in an unpressurized aircraft, and extra-vehicular activity from spacecraft.Signs and symptoms include fatigue, skin itch, dizziness or vertigo, pain in joints, etcDCS is a clinical diagnosis. As the goal for treating all patients with symptomatic DCS is hyperbaric oxygen (HBO), with emphasis placed on recompressionTo learn more about Decompression sickness,
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Alicia is a sedentary, 20-year-old woman. She weighs 145 pounds. Based on her body weight, what is her Recommended Dietary Allowance (RDA) for protein
The Recommended Dietary Allowance (RDA) for protein for Alicia with a weight of 145 pounds is around 52.7 grams of protein.
The Recommended Dietary Allowance (RDA) is the amount of food that a person should eat regularly to fulfill all the nutritional needs of the body. It is frequently used to help people plan diets that are sufficiently nutrient-dense.
RDA for protein is 0.8 grams of protein per kilogram (Kg) of body weight. Alicia's weight in kg will be:
145÷2.2= 65.9 kgs
RDA for protein for Alicia = 65.9 X 0.8 = 52.7 grams of protein
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