Questions
What resources do you use to improve your awareness of your communication skills in the professional...

What resources do you use to improve your awareness of your communication skills in the professional setting? What are the most effective communication skills that nurses bring to collaborative interactions? Why are those so important in your own practice?

In: Nursing

How does the iris promote eye color as well as the dilation and constriction of the...

  1. How does the iris promote eye color as well as the dilation and constriction of the pupil?
  1. What is the role of eyelashes when a foreign body invades the eye?
  1. Define the terms miosis, mydriasis, accommodation, near point, and cycloplegia in relation to the eye structures and functions
  1. Explain primary, secondary, and congenital glaucoma —as well as closed-angle glaucoma and open-angle glaucoma.

In: Nursing

What is the principal treatment for patients with open-angle glaucoma and the types of drugs used...

  1. What is the principal treatment for patients with open-angle glaucoma and the types of drugs used to control IOP?
  1. What are signs and symptoms of glaucoma and appropriate nursing interventions.
  1. A patient comes to the emergency department (ED) complaining of sudden headache, blurred vision, eye pain, and halos seen around white lights. He denies previous treatment of this problem. He states that he hit his head yesterday while fixing a bathroom sink. The nurse triages the patient and sends him immediately to the ED for further evaluation by the health care provider. What type of assessment should the nurse perform on this patient? Why does the nurse evaluate this patient’s complaint as a true emergency?
  1. A patient with acute closed-angle glaucoma is prescribed IV mannitol, an analgesic, and an antiemetic. What should the nurse caring for the patient look for after the mannitol is administered? Why did the health care provider order an analgesic and antiemetic? What type of environment should the nurse set up for this patient?

In: Nursing

If the goal is how to develop reliability and resilience in health care systems while embedding...

If the goal is how to develop reliability and resilience in health care systems while embedding a vision of zero avoidable harm into the culture of health care is it possible to reach "zero harm".

Describe what achieving this goal requires(what does an organization have to do).

In: Nursing

Read the case study. Then answer the questions at the end of the case study. The...


Read the case study. Then answer the questions at the end of the case study.
The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping.
She denies fever, chills, cough, wheezing, and sputum production but does get short of breath easily.
There are no known ill contacts at home. Her family history includes significant heart disease and prostate malignancy in her father. Social history is positive for smoking tobacco use at 30 pack years. She quit smoking 2 years ago due to increasing shortness of breath. She denies all alcohol and illegal drug use. There are no known foods, drugs, or environmental allergies.
Physical Exam
Initial physical exam reveals temperature 97.3 F, heart rate 74 bpm, respiratory rate 24, BP 104/54, BMI 40.2, and O2 saturation 90% on room air.
Pulmonary/Chest: No respiratory status distress at this time, tachypnea present, (+) wheezing noted, bilateral rhonchi, decreased air movement bilaterally. Patient barely able to finish a full sentence due to shortness of breath.
ABG: Initial arterial blood gas with pH 7.39, PCO2 52, PO2 53.6, HCO3 24, and oxygen saturation 90% on room air.
1. What is your interpretation of the ABG results?
2. Based on the findings, what is the clinical diagnosis?
3. What medication would you anticipate the health care provider ordering?
4. What is the difference between Bipap and CPAP?

In: Nursing

describe how a closed circulatory system delivers oxygen and nutrients and picks up waste and carbon...

describe how a closed circulatory system delivers oxygen and nutrients and picks up waste and carbon dioxide. What types of organisms use a closed circulatory system?

In: Nursing

History of Present Illness MDJ is a 50-year-old woman whose routine mammogram showed a 2.3 -...


History of Present Illness

MDJ is a 50-year-old woman whose routine mammogram showed a 2.3 - 4.5 cm lobulated mass at the 3:00 position in her left breast. Sheunderwent a stereotactic needle biopsy and was diagnosed with infiltrating ductal carcinoma that was both estrogen and progesterone receptor positive. The staging workup was negative for distant metastasis. Her final staging was stage IIB. She had a modified radical mastectomy with lymph node dissection. The sentinel lymph node and 11 of 16 lymph nodes were positive for tumor cells.

Past Medical History

Her medical history is significant only for starting menstruation early, at age 10, and being chronically 20 to 30 pounds over- weight since high school.

Family History

She decided to have a mammogram after learning that her maternal aunt and grandmother were diagnosed with breast cancer in the past few months. Her mother was diagnosed with breast cancer ,8 years ago at age 50.

Personal and Social History

Her home exercise program includes walking and gardening, and she describes her diet as healthy. She works part-time from home as a research editor, which involves to a lot of time on the computer.

Admission Order

She is prescribed a chemotherapy regimen of six cycles of CAF (cyclophosphamide [Cytoxan] 600mg p.o. daily, PNSS 1 L +Fluorouracil [5-FU] 225 mg x 8hrs , and doxorubicin [Adriamycin])136 mg IV q 14days. During the her chemotherapy patient experiences a severe nausea and vomiting,loss of appetite,stomach upset but her oncologist give ZOFRAN(Ondansetron)4mg TIV q 4hrs.

She has now completed three cycles of CAF. Her height is 5 feet, 7 inches, and her weight is 155 pounds.

She comes to the emergency department with a 2-day history of fever, chills, and shortness of breath. On arrival, she is disoriented and agitated. Vital signs are BP =86/43, PR =119, RR= 28, T=39.8° C, O2Sat 85% on room air. Chest x-ray demonstrates diffuse infiltrates in the left lower lung. Her chem 14 is within normal limits, with the exception of BUN 28 mg/dL, creatinine 1.6 mg/dL, and lactic acid 2.4 mg/dL. requires endotracheal intubation and spends 3 days in the ICU receiving antibiotics and respiratory support. She is able to be extubated and returns to the oncology unit, where she remains for a few more days before being discharged to home.

Complete Blood Count

WBC

1200/mm3

Neutrophils

34%

Segmented (Polys)

30%

Bands

4%

Lymphocytes

60%

Monocytes

3%

Eosinophils and basophils

2%

Hct

24.9%

Hgb

8.7 g/dL

Platelets

85,000/mm



make a discharge planning

In: Nursing

Case study 2 – disorders of haemopoietic system Louise is a 57-year-old lady that has presented...

Case study 2 – disorders of haemopoietic system

Louise is a 57-year-old lady that has presented to her GP with •fatigue, weight loss, sweating, easy bruising, discrete ecchymosis, feeling of abdominal fullness’ and re recurrent mild upper respiratory tract infections (URTI) On examination she was found to have an enlarged spleen and small diffuse petechiae.

Lab test show the following results

  • Haemoglobin 90 g/L (115 – 165 g/L)
  • Platelet count 58 x 109/L (150 – 450 109/L)
  • White blood cell count 1.4 x 109/L ( 4.5 – 11 x 109/L)
  • Hct 0.61mL/L (61%) L ( 37 -47mL/dL)
  • Peripheral Blood smear WBC 76% are blasts

2a. Explain the possible causes of the abnormalities.                3 marks (1 mark for each abnormality)

  • Haemoglobin
  • Platelets
  • Peripheral blood smear

2b.     What history or clinical presentation can be linked to the abnormal haematological findings, support with rationale / explanation.                                                                                            3 marks (0.5 per CM 0.5 for explanation)

2c.       Describe and discuss the differentiation between Acute Myeloid Leukaemia and Acute Lymphocytic Leukaemia

In: Nursing

Tiffany, 36-year-old woman who has been experiencing of pain and swelling in her hands and feet....

Tiffany, 36-year-old woman who has been experiencing of pain and swelling in her hands and feet. On examination by her General Practitioner (GP) her hands and feet display evidence of inflammation; rubra, heat and swelling and decreased function. On palpation and movement, they cause considerable pain which she rates as 5 - 7 on pain scale of 0 -10. When questioned on when this pain and inflammation first started, she is unable to say, but it has gradually worsened over the past 4 weeks. She states she has been taking Ibuprofen which initially provided relief but is no longer as effective. It is worse in the morning and she is now unable to carry out her many aspects of her normal routine. Her GP suspect’s Rheumatoid Arthritis (RA).

Questions:

3a.       Discuss the pathogenesis of Rheumatoid arthritis and link it to the clinical manifestations that Tiffany is experiencing.                                                        4 marks

3b.       Discuss the diagnostic tests that may be used in the diagnosis of RA

3 marks

3c.       Disease Modifying Anti Rheumatic Drugs (DMARD) are often the first line of pharmacological therapy despite the significant side effects. Name two non-biological DMARD’s, describe how they work and why they are prescribed despite the significant adverse drug reactions (ADR’s)                                                                                                 3 marks ( 1 mark for drug names, 2 marks for discussion)

In: Nursing

During your Community Health Nursing posting, you discover that many parents and grandparents are at risk...

During your Community Health Nursing posting, you discover that many parents and grandparents are at risk for heart disease due to high blood cholesterol, high blood pressure and obesity or being overweight. Also, the school nurse reports that a number of students have some of these same risk factors for heart disease.


Discuss the four main Dietary Reference Intake categories.

Make recommendations, according to dietary guidelines, that could reduce the risk of heart disease among the students and their families.

In: Nursing

How might an organisation benefit from network relationships in terms of information that can be gathered...

  1. How might an organisation benefit from network relationships in terms of information that can be gathered and trends that can be identified? 100-120 words CHCPRP001

In: Nursing

Case Study Read the following case study and answer the questions that follow: Grace Speak is...

  • Case Study

Read the following case study and answer the questions that follow:

Grace Speak is a fourth-year student at Best University. She and her fellow classmates are working hard in their final courses and preparing for exams. Inspired by the teamwork that the healthcare profession espouses, Grace gets an idea for a study group. She thinks it will really help to share case experiences, course notes, and study tips. Unfortunately, several members of her peer group live out of town, which makes it difficult for them to participate fully. Grace is torn, as she does not want to exclude them from the study group. When she voices her concerns to a classmate, her friend suggests using social media tools as the primary medium for sharing information.

Questions

  1. Two required elements that a single social media site must have to meet the needs of her study group are the ability to share ideas and experiences (chat), and share information (store documents). Research several social media sites that meet both of the required elements for Grace’s group. Select one social media tool, include its website, and explain your rationale for selecting that tool.

Selected Social Media Tool (and website)

[Write your response here.]

Rationale

[Write your response here.]

  1. Grace discovers that not all of the members of the group use the social media tool she selected. In your own words, create a set of simple instructions that other members of the group could follow to ensure full group participation.

[Write your response here.]

  1. Grace decides to establish a set of “ground rules” from the outset when she forms the study group. Create a set of “ground rules” that will help to create a group with full participation by all members and that will not place members of the group at risk, for either privacy or academic (plagiarism) concerns. Provide your reasoning for the “ground rules” you established.

Ground Rules

[Write your response here.]

Rationale

[Write your response here.]

  1. In a specific week, the assignment is particularly challenging. One of the students in the study group offers to post the “answers” he received from a student who completed this same assignment last year from the same instructor. Grace knows that one of her close friends in the study group is at risk of failing if she does not do well on this assignment. Describe how Grace might handle this situation to reduce the academic risk of plagiarism for herself, her friend, and other members of the study group.

[Write your response here.]

In: Nursing

Subject Hypertension patient: Please make to have it as a actual scernio of a patient going...

Subject Hypertension patient: Please make to have it as a actual scernio of a patient going into to the hopstial and for section B give rationales. A.Health History – age, gender, ethnicity, past and current medical history, chief complaint, and history of present illness on admission.B.Laboratory/Diagnostic Testing – describe the diagnostic tests ordered/completed, pertinent results (including normal and abnormal ranges), and rationales for the use of each diagnostic test.

In: Nursing

The Federal government has classified controlled substances into different schedules. What are the variables the government...

The Federal government has classified controlled substances into different schedules. What are the variables the government considered to establish the scheduling method (e.g. how are the schedules determined?) and some major differences between each schedule?

Also what is Forensic Toxicology and the roles and responsibilities of the Forensic Toxicologist?

In: Nursing

49-year-old married woman comes in to see her medical provider complaining of severe sleep difficulty involving...

49-year-old married woman comes in to see her medical provider complaining of severe sleep difficulty involving initial insomnia, poor appetite, a severe decrease in her energy level to the extent that some weeks she calls into work 2 or more days, and lack of enjoyment in her usual hobbies and interests. She describes her mood as “depressed.” You observe the client to have a sad, blunted affect; slowed speech; and psychomotor retardation. In exploring the client’s life stressors, you learn that she has a 19-year-old daughter who is away at college and that 4 months ago, her 17-year-old daughter was killed in a car accident. The client admits to maladaptive grieving and an irrational fear that something “bad” will happen to her daughter at college. The client also admits that she is depressed and that she does have some vague suicidal ideation but no specific plan. She feels compelled to watch over her daughter as she feels a degree of guilt that she was not a good mother and that failing contributed to her 17-year-old daughter’s death. She tells you that she has been taking St. John’s wort for the past 2 months but has not thought that it has helped with her depression. The primary provider gives the client a prescription for escitalopram (Lexapro).


Discuss in detail the pharmacologic interventions for depressive disorders. What are the side effects? What are the nursing interventions in regards to side effects and client education?   

What are the psychosocial interventions for depressive disorders?  

In: Nursing