case study: Patient A is a 30-year-old male was admitted to the hospital from home after 1 week of cough, profuse nocturnal sweating, loss of appetite, and hyposomnia. He was seen by an emergency room physician who noted signs of depression. The patient has a history of intravenous drug abuse and hepatitis B.
Tmax | 38.0ºC |
Heart Rate | 110 beats per minute |
Respiratory Rate | 20 breaths per minute |
Blood Pressure | 130/76 |
Oxygen Saturation |
98% on room air |
General | Young male, looks older then stated age |
HEENT | Depressed, pupils equally round and reactive to light and accommodation |
Neck | Supple |
Resp | Unilateral (left side) crepitation |
Card |
Regular rate and rhythm, no murmurs, rubs, or gallops |
Abd | Slightly distended |
Ext | No edema |
Skin | Excoriated, otherwise normal |
Neuro | Slightly altered, but baseline |
Na: 133 | Creatinine: 1.8 |
K: 4.1 | WBC: 9.48 x 109/L |
Cl: 96 | Hgb: 11.4 g/dL (114 g/L) |
Platelets: 149 109/L |
HIV test: Negative |
Radiology | Chest X-ray showed infiltrate in the middle of left lung with diameter of 1.7 cm with signs of cavitation. |
Blood Culture | No growth at 5 days |
Sputum Smear Gram Stain |
4+ squamous epithelial cells, 1+ segmented neutrophils, no organisms |
AFS (acid fast stain) | No organisms |
Sputum Culture | No growth at 48 hrs |
MGIT (mycobacteria growth indicator tube) | Negative |
Q1. Explain the steps in which the specimen is collected, handled, and how the specimen is analyzed.
Q2. Evaluate and explain the patient’s lab results.
Q3. Explain the lab tests and methods that you will carry out and use in order to diagnose the patient.
Q4. Explain how you would determine the acceptability of quality control test result data.
please answer
In: Nursing
Surgery Assignment
A 25-year-old female client is being admitted to the postanaesthetic 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.
In: Nursing
In this case study, Ruth’s previous encounters with mothers of premature infants and her knowledge of the family experience inform her nursing actions. Experienced nurses incorporate much information simultaneously. Notice that Ruth determines that the baby’s physiologic condition is stable while she is beginning to interact with the mother. In this action, she is prioritizing patient safety. While she interacts with the mother, Ruth may interpret Cassandra’s behavior as a pattern sometimes displayed by mothers in the NICU. She understands how frightening it is to have a hospitalized newborn and knows from experience that fear can take on many faces. This may be evidence of Ruth’s intrapersonal characteristics that value empathy and consider the patient experience. Rather than focusing on Cassandra’s negative response to her, Ruth focuses on relationship building before moving on to teaching. This action opens the door to effective teaching. Notice that Ruth takes some time afterward to consider what went well in this challenging situation. This will inform future interactions with mothers of patients.
In what ways could reflection on the action be encouraged as part of nurses’ professional lives?
How do the interpretive and standards-based approaches to clinical judgment compare in relationship with the goal of patient-centered care?
In: Nursing
Hello, I am doing psychomotor skill assigment. I would like to know about flu shot administration and step by step explanation and how to evaluate this technique. Thank you.
In: Nursing
In: Nursing
Part 1: For each of the following impulse control disorder.
1. Oppositional Defiant Disorder 2. Intermittent Explosive Disorder 3. Conduct Disorder A. Define the disorder. B. What factors may contribute to the development of your assigned disorder? C. What manifestations will an individual with then disorder present with? D. What are priority assessments for an individual who has this disorder? E. What are priority interventions? F. Is pharmacological intervention indicated with the disorder? If so, what medications are used?
In: Nursing
Discuss why consumers are being encouraged to take a more active role in their health care.
In: Nursing
The COVID pandemic has redefined health policy in a lasting way. Policies have been deployed in the form of suggested human actions, laws, regulations, etc. and updated and revised within short time periods to include PPE, education, medical care, tracing, isolation, travel, etc..
1. Find resources on two COVID related health policies that are readily accessible to the class and copy the links into this DB.
2. What are the policies and were they effective?
3. What challenges were faced in enforcing the policies?
4. What changes were made to the policies over the course of the epidemic?
In: Nursing
In: Nursing
In: Nursing
Part 2: For each of the following therapies.
1. Cognitive Behavioral Therapy 2. Psychodynamic Psychotherapy 3. Dialectical Behavioral Therapy 4.Parent-child Interaction Therapy 5. Parent Management Training 6. Multisystemic Therapy
A. Describe the therapy.
B. Discuss how the therapy may benefit someone with an impulse control disorder.
C. What type(s) of impulse control disorder(s) would be treated using this therapy?
In: Nursing
Jaundice Case study
Situation: Anders is a 2 day/40 week infant. WT 7lb 11 oz HT 22 inches
Admitted for treatment of hyperbilirubinemia (jaundice).
Background: He lives with his parents and older brother who is 3 years old. MOB reports that the sibling was also treated for jaundice as an infant. MOB is breastfeeding exclusively with reports of the infant being difficult to wake for feeds. He is feeding about every 4 hours for 15 minutes.
Labs from ED:
Serum Bilirubin level: 14 mg/dl
Coomb’s- negative
CBC-Hg 213, Ptl 176, WBC 9.8- no left shift
Assessment:
Infant is visibly jaundiced at torso and head. Responsive to touch but sleepy. Reflexes WNL Anterior fontanel is soft and flat. Milia visible on face. Skin is warm and dry.
HR 148, no murmur
RR 50, CTA bilaterally
Temp 36.8
BP on admit 76/54, Capillary refill less than 3 sec
BT are +
Admit Orders:
Diet BF ALD
Strict I & O
VS per routine
Phototherapy- double- blanket and lights
Redraw bilirubin level in 12 hours
Do you have any additional HX questions you would like to ask the family?
What are your initial nursing priorities?
What other healthcare team member may you need to consult with?
What interventions do you anticipate regarding initiation and monitoring of phototherapy?
What concerns do you anticipate needing to address for the family?
In: Nursing
Discuss the pathogenesis and progression of ebola. What safety concerns were addressed during the 2014 outbreak?
In: Nursing
In: Nursing