How do the elderly populations in Kentucky and Pennsylvania differ from elderly populations in Florida? How does this affect health care and the practice of medicine?

Question
You are expected to write a report about your future workplace( nutritionist in a clinic ) . Please go through the
material on “Workplace Health and Safety – Physical Hazards” and online sources to write your
report. The page limit is 1-1.5 page. First, state where you would like to work in the future. Your
report should then include;
- What do you think you will be exposed the most regarding to physical hazards at
workplace?
- What preventative actions you are required to take in order to minimize (or eliminate)
hazard?
- What actions do you think your employer should take in order to minimize (or eliminate)
hazard in the light of principles learned from the course so far?

1.Identify the top priorities for the nursing management of a postoperative abdominal surgery patient.

2.Discuss the following types of IV solutions utilized in the care of postoperative patients and identify at least two specific solutions for each.

3.What is the function of the peritoneum?

1. Comprehension of Terms: Provide the medical term for the meaning given below:

1. Turning outward      
2. Measurement or observation within a living organism      
3. Permitting the passage of most x-rays      
4. Rate of absorption of a radionuclide into an organ or tissue      
5. A procedure in which something is measured or observed outside a living organism      
6. A radioactive form of a substance      
7. Process (two dimensional) used to detect radioactivity emitted in diagnostic imaging      
8. X-ray record of the uterus and fallopian tubes      
9. Movement toward the midline of the body      
10. Radioactive substances produce cross-sectional images of regions of the body      
11. Radioactive drug (radionuclide plus chemical) that is administered for diagnostic or therapeutic purposes      
12. Pertaining to treatment      
13. Obstructing the passage of x-rays      
14. Diagnostic x-ray procedure in which cross-sectional images are made of specific body segments X-ray record of the renal pelvis      
15. Process of recording x-ray images of bile vessels      
16. X-ray position; lying down and on one’s side      
17. Process of recording sound waves in order to produce an image of the heart      

2. RADIOLOGY REPORT

18. Read the report and answer the questions that follow

Mass Adjacent to Thyroid—Lt side on US done 5/5/10

EXAM: NECK W/WOUT CONTRAST

4/9/20

Initially scans were obtained throughout the neck without IV contrast. Following this, a bolus of IV contrast was given and rapid scans obtained through the region of interest in the neck, related to the left lobe of the thyroid. As demonstrated on the recent ultrasound, there is a well-defined oblong mass in the left neck measuring 2.2 × 3 × 1.8cm in size. This lies posterolateral to the left thyroid lobe and is predominantly between the left common carotid artery, which is displaced posteromedially, and the left internal jugular vein, which is displaced laterally. No other adenopathy, and the remainder of the thyroid appears unremarkable.

IMPRESSION: The mass appears to be extrinsic to the thyroid, possible even within the carotid sheath. The lesion appears to be relatively avascular. The differential diagnosis would include an unusually enlarged lymph node, a very atypical thyroid nodule, or a soft tissue tumor. The lesion is very easily accessible to needle biopsy and this would certainly be the easiest method of obtaining positive confirmation. This could be done using US guidance.

1. What type of radiologic test is described here?      
2. Where is the mass located?      
3. Which of the following is not a possible diagnosis?      
4. What procedure will help determine the diagnosis?      

3. Chart Note

19. Read the note  and answer the questions that follow

The pt underwent a bone scan, which revealed irregular foci of tracer in lower T spine (T11-T12) consistent with compression fracture. There was also increased tracer in the posterior/lateral right ribs. On physical test she was diffusely tender and in pain throughout her chest/ribs and spine. The pt also underwent chest CT, which demonstrated extensive parenchymal and pleural disease encasing the entire chest and involving vessels and bronchi. Her adrenals and liver, vertebral bodies, and R scapula were also involved with metastatic disease.

1. What type of test is a bone scan?      
2. What type of doctor administers this test?      
3. Extensive parenchymal and pleural disease means:      
4. The bone scan revealed:      

1. Give meanings for the following suffixes:

1. -dote      
2. -in      
3. -phylaxis      

2. Give meanings for the following prefixes:

1. Syn-     
2. Par-     
3. Contra-     

1. Match the following terms with their descriptions below:

1. Drug that promotes vomiting      
2. Drug that produces sleep or a trance-like state      
3. Drug that prevents bone loss and osteopenia      
4. Drug that relieves constipation      
5. Drug that is antiarrhythmic, antihypertensive, and antianginal; blocks receptors in blood vessels      
6. Hormone from the adrenal cortex that raises blood sugar and reduces inflammation      
7. Drug that increases production of urine and thus reduces the volume of blood in the body; lowers blood pressure      
8. Central nervous system stimulant      
9. Drug produced by a plant or microorganism, which has the ability to inhibit or destroy foreign organisms      
10. Drug that blocks the entrance of calcium into heart muscle and lining of blood vessels;
11. antihypertensive, antiarrhythmic, and antianginal drug      
12. Drug that relieves constipation; strong cathartic and laxative      
13. A mildly hypnotic drug that relaxes without necessarily producing sleep      

2. Use the following word parts to create or complete the terms from the definitions below:

14. Pertaining to a stupor:      tic
15. Study of drugs:      
16. Antibiotic drug produced from a red mold:      in
17. Pertaining to against fever:       ic
18. Pertaining to within the sheath (of the brain and spinal cord):      .
19. Effect of combination of two drugs is greater than each drug alone: syn      
20. Treatment using drugs:      

3. Use the following word parts to create or complete the terms from the definitions below:

21. Pertaining to a drug that is against life (bacterial life):      tic
22. Pertaining to other than through the intestine:      enteral
23. Pertaining to when the effect of two drugs is greater than either alone:      ergistic
24. A factor that prevents the use of a drug or treatment:      indication

1. Name the route of drug administration from its description below:

1. Drug is administered via suppository or fluid into the anus      
2. Drug is administered via vapor or gas into the nose or mouth      
3. Drug is administered under the tongue      
4. Drug is applied locally on skin or mucous membrane      
5. Drug is given by mouth and absorbed through the stomach or intestine      
6. Drug is injected via syringe under the skin, into a vein, muscle, or cavity      

2. Matching:

Besides diet and exercise, why do social status (educational level) and environmental factors in modern society have a great influence on healthy aging?

Test I.
a. Reflection Paper about fluid imbalances

Differentiate the respiratory acidosis from respiratory alkalosis

Differentiate the metabolic acidosis from metabolic alkalosis

preparation of 10 herbal medicine

Surgery Assignment

25-year-old female client is being admitted to the postanesthesia care unit (PACU)
following a thyroidectomy for hyperthyroidism. The client had undergone three
months of preoperative treatment with antithyroid medications and iodine
preparations to establish euthyroid status prior to her surgery. At the client's bedside
the nurse has set up a tracheostomy set, endotracheal tube, laryngoscope, and suction
equipment. There are ampules of calcium gluconate on hand. The nurse places the
client in a semi-Fowler's position, and is supporting her head and neck with pillows
and sandbags. The nurse frequently checks the client's vital signs, and assesses her
suture line for strain or bleeding. Once the immediate postoperative period has passed,
the client will be transferred to the surgical ward where she will recuperate and learn
about lifelong thyroid replacement therapy

.
a. Develop a plan of care for this patient including 2 actual and 2 potential nursing diagnosis

Given the criticism Eleanor has received, what specific type of grief is she most likely experiencing? How might it be contributing to Eleanor’s prolonged pain, and what can you do to help her?

What other types of grief do you know?

Eleanor feels guilty for grieving like this for a patient and worries that she is experiencing depression. Based on what you know, how would you answer? What is the difference between normal grief and major depressive disorder?

This story mentions Eleanor’s participation in celebrating Maria’s life on Facebook. What is your impression of this as a positive or negative contribution—given what you’ve learned from the text?

1. Explain In your own words how the holistic nursing journey affects they way nurses care for themselves
2. In your own words explain the evolving role of a holistic nurse

A 2 year old child is in for her well visit. She is up to date with all vaccinations. Born full term, 7 pounds and 5 ounces. No allergies and not on any medications. Breast fed for six months. Mother is anxious because she is not far along in language development as her brother was at this age. She cries when getting a hair cut and is not consolable. Only eats noodles and toast. Is not a good sleeper.

1. The mothers asks, "are these things related?" How do you reply?

2. What are some online tools to screen for assessing language delays?

3. What should be included in the health history?

4. What should the focused physical examination include?

Case Study #11

History and Physical Examination:

A 24-year-old female with a history of AIDS presents for evaluation of left-sided weakness. She has also experienced headaches and seizures and others have observed an alteration in her mental status. Her medical history is notable only for an episode of Pneumocystis jiroveci pneumonia, primary syphilis treated with penicillin 5 years ago and occasional thrush. She takes zidovudine and monthly-aerosolized pentamidine for Pneumocystis prophylaxis. An urgent CT scan of the head shows two 1 cm lesions in the right basal ganglia with enhancement seen with intravenous contrast media. Laboratory data: CD4 cell count 50 cells/μL (reference 600 – 1500/μL) RPR positive 1:2 dilution Toxoplasmosis gondii IgG positive Toxoplasmosis gondii IgM negative

Questions:

1.What is the most likely cause of the lesions in the brain?

2. Is this a newly acquired infection? Why or why not?

3. What is the difficulty in using serologic techniques to diagnose infectious disease in this type of patient?

4. Should pregnant women be tested for this microorganism and why?

5. What prenatal serology is currently recommended relative to Toxoplasma past or current infection?

6. What test is performed on the newborn to aid in the diagnosis of congenital toxoplasmosis? 7. What 3 ways can a person become infected?