Questions
What do you believe happens during the final scene of the story between the brothers at....

What do you believe happens during the final scene of the story between the brothers at. the jazz club?

In: Nursing

Discuss the chemically impaired nurse/health care professional. Identify behaviors and actions that may signify chemical impairment...

Discuss the chemically impaired nurse/health care professional. Identify behaviors and actions that may signify chemical impairment in an employee or colleague. What risk factors result in an increased risk for chemical addiction in the nursing profession. What are your personal feelings/ experiences regarding the chemically impaired nurse/health care professional. How would your personal feelings affect your ability as a manager to address a chemically impaired employee.

In: Nursing

A 47-year-old man was admitted to the hospital because of exertionally-related angina with coronary definition revealing...

A 47-year-old man was admitted to the hospital because of exertionally-related angina with coronary definition revealing a totally occluded right coronary artery and 80 % obtruse marginal stenosis. He was an avid hockey player and had attributed the chest pains to the sport. 1 month later, the chest pains persisted and he was admitted to the hospital for further observation.
Patient Referral:
Patient was sent to the Cardiovascular department for surgery. Percutaneous coronary intervention with deployment of a drug eluting stent and commencement of clopidrogel was administered.
Post-surgical observations:
After 1 month, the patient’s right coronary was totally occluded and the stents were replaced. 9 months after the replacement, the patient still experienced chest pains, but coronary angiography revealed no instent stenosis.
Further information from patient:
Patient no longer felt the chest pains, and presumably went about his usual routine. However, 2 years later, the patient presented with post prolonged ischemic chest pain with myocardial infarction.
Patient referral:
Patient sent for coronary angiography.
Angiography results:
A thrombus in the circumflex stent which was re-dilated and a further drug eluting stent was deployed.
Patient reaction to treatment:
2 years later, while playing a vigorous game of hockey, further chest pain and presentation revealing thrombus in stent to circumflex artery which was ballooned and the side branch protected using a stent. Patient referred for molecular testing.
Molecular testing results:
CYP2C19 genotype performed.
Results: *2/*2 homozygote representing a poor clopidrogrel metabolizer.
Treatment regimen:
Patient subsequently ceased clopidogrel and commenced prasugrel. After 3 months of new treatment, patient no longer showed ischemia.


Question:

1. To which group of pharmacokinetic genes did the biomarker belong that the physicians chose to help them properly treat the patient? What function do the genes in this group perform in the body?


2. List the 3 metabolism states for the gene utilized and the associated genotypes. What was the patient’s genotype and metabolism status?


3. What changes would you have made in this patient’s treatment if you could go back to the initial presentation in the hospital?

In: Nursing

12. Describe a picture rehearsal and what are the advantages of using imagery-based scenes 13. How...

12. Describe a picture rehearsal and what are the advantages of using imagery-based scenes

13. How do u feel about Autism and how will it help a future physical therapist's career?

In: Nursing

1. How does the electrical current pathway differ between monopolar and bipolar? 2. Why might a...

1. How does the electrical current pathway differ between monopolar and bipolar?

2. Why might a patient’s jewelry be hazardous in the OR?

3. What are the safety precautions to be considered with the placement of the patient return electrode?

4. What are the three properties of laser light which are different than normal light?

5. How is distention achieved in minimally invasive procedures and why is it necessary?

6. What types of trocars are used for laparoscopy and what are their advantages?

7. Why are angled rigid endoscope used and in which types of procedures would they be preferred?

8. Which types of human motions or movements are surgical robots able to replicate?

9. What are the reasons for creating hybrid rooms within the operating room suite?

In: Nursing

A 22- year-old woman presents to the ED with complaints of bladder fullness , incomplete bladder...

A 22- year-old woman presents to the ED with complaints of bladder fullness , incomplete bladder emptying , and severe pain in her right flank. She rates the pain a 9 on a 0-10 numeric pain scale. Patient states she has a history of kidney stones . She also states when she is able to void, it burns and has a foul odor . Vital signs: HR 85 , BP 120/80 , RR 16, SPO2 98% on RA, temp 100.9 (oral). Pt takes the following medications : Hydrochlorothiazide (HCTZ ) 25 mg PO daily , Detrol LA 2 mg PO daily Lab results : CBC : WBC 26 Urinalysis : WBC (too many to count), Bacteria (5+, large), Leukoesterase (+) Positive , Protein (-) negative , Ketones (-) negative.
Assessment? Diagnosis? Evaluation ? Implementation ? Planning?

In: Nursing

A 42-year-old man presents with an 8-hour history of testicular pain, which is increasing in severity....

A 42-year-old man presents with an 8-hour history of testicular pain, which is increasing in

severity. He is in acute distress by the time you see him and complains of groin pain. He

notes some urinary frequency and nausea. His physical ex is unremarkable with

normal testicular and scrotal ex and mild left costovertebral angle tenderness.

Urinalysis reveals significant microscopic hematuria.

Questions:

1. Will you treat and/or refer? What follow-up is needed?

2. What education is needed for this patient for the future?

3. Are there any complementary therapies to assist this patient in control of his underlying condition long range? Support with evidence from the literature.

In: Nursing

Jason Smith is a 48-year-old man who has been admitted to the hospital with the diagnosis...

Jason Smith is a 48-year-old man who has been admitted to the hospital with the diagnosis of acute inferior myocardial infarction. He says to the nurse, "I can't believe I had a heart attack. Those are for old people! I still feel young, but I guess I have to slow down." The nurse, using reflection, asks Mr. Smith, "Do you feel that you can no longer lead an active life because you have had a heart attack?" The nurse's statement will encourage Mr. Smith to continue sharing thoughts and explain why he believes this to be true. This will allow the nurse to correct any misunderstanding that he has about the recovery process after an MI.

Critical Thinking Questions

Steve john is a 48-year-old man who has been admitted to the hospital with the diagnosis of acute inferior myocardial infarction. He says to the nurse, "I can't believe I had a heart attack. Those are for old people! I still feel young, but I guess I have to slow down." The nurse, using reflection, asks Mr. Smith, "Do you feel that you can no longer lead an active life because you have had a heart attack?" The nurse's statement will encourage Mr. Smith to continue sharing thoughts and explain why he believes this to be true. This will allow the nurse to correct any misunderstanding that he has about the recovery process after an MI.

1. What physical attending communication techniques could be used in this interaction, and how might they impact the patient's communication?

2. How might the nurse use acknowledging in this encounter?

3. What impact do you think it would have on this interaction? 3. What other communication techniques could the nurse use, and how might those impact the interaction with Mr. Smith?

In: Nursing

2. Changes in law and policy regarding cooperation with other nations, the World Health Organization, and...

2. Changes in law and policy regarding cooperation with other nations, the World Health Organization, and other such international agencies. ((unique answers please))

In: Nursing

give a comprehensive research on digital art therapy?

give a comprehensive research on digital art therapy?

In: Nursing

Q2.choose any medical complex and answer these: a-Specify the products and services produced and offered to...

Q2.choose any medical complex and answer these:

a-Specify the products and services produced and offered to its customers/clients.

b-Who are regarded as the customers/clients of this medical complex (consider the end users, retailers, other manufacturers, employees, etc.)?

c-Provide the department or division layout of the organization.

(ps. for example, the medical complex dealing with food company( that provide breakfast to employee in this medical complex., they deal with this x company provide medical supplies to its pharmacy ,,they deal with the manufacturers with provide them blah blah  and the end users, retailers are blah blah which blah blah ,you got the idea? pleas answer like this or answer it in your own professional words in 200 or 300 if you can ,, thank you

In: Nursing

cause and effect argumentation essay on alcoholism

cause and effect argumentation essay on alcoholism

In: Nursing

Choose a legislator on the state or federal level who is also a nurse and discuss...

Choose a legislator on the state or federal level who is also a nurse and discuss the importance of the legislator/nurse role as advocate for improving health care delivery.

In: Nursing

Design a teaching plan about bike safety (helmet) for a community population. The reaching plan must...

Design a teaching plan about bike safety (helmet) for a community population. The reaching plan must have objectives, contents outline, learning development and activities and evaluation.

In: Nursing

Using the Jean Watson Theory, what are some examples of how you can incorporate human science...

Using the Jean Watson Theory, what are some examples of how you can incorporate human science into nursing student practice?

In: Nursing