Questions
FAMILY QUEEN (FNCP) Family Background Client Q and her family is a cohabiting family. Client Q....

FAMILY QUEEN (FNCP)
Family Background
Client Q and her family is a cohabiting family. Client Q. is a 25-year old female, and her partner, client R.S.J., is a 31-year old male. They have been living together for three years. She has two children, her first-born is a 6-year old boy from her previous relationship and is currently being taken care of by her parents in Las Piñas. She gave birth to her 6-week old baby boy last August 31, 2020 whom she is taking care of now. The head of the family is client Q. She is in charge of making decisions about the family.
Socio-Economic Background
Client Q. is a high school graduate and is working as a massage therapist in Makati City, and her partner is an elementary graduate and works as a street vendor near LRT Libertad Station. The client is currently on maternity leave from her job as a therapist. During her maternity leave, it is her partner who provides for their daily needs. She said that their income is enough to provide their family’s basic needs but she did not disclose their monthly income. They are Roman Catholic and states that they have a firm belief or faith in God, as the client verbalized “para sa akin malaki ang papel ng Diyos sa buhay namin”. They do not participate or join community activities like the barangay’s fiesta or program.
PHYSICAL ENVIRONMENT
The client’s house is made of light scrap materials like plywood, big carton boxes which they decorated with wallpapers. The houses in the compound are clustered closely together with little to no space. It is a small house with no windows. It is a small space with a curtain that serves as a door near their house since the house gets too hot during the day. They do not have their own toilet and bath area; they use a common toilet and bathroom area in the compound, wherein they pay a fee of 20 pesos and 10 pesos each one bucket of water. The toilet bowl in the common bathroom does not have a flush. The sources of water in the area are deep well with a water pump and (NAWASA). They use the water from the deep well to wash their dishes and their laundry. However, the student nurse noticed that the water in the well has garbage floating in it. She also noticed several big plastic bottles without cover that scattered around the house that had rain water inside. They also leave their used dishes soaked in a basin. Their source of electricity is from the jumper cables connected to the electric posts of Meralco. The family usually buys their food from the eatery found in the area, but if they have the chance to cook, they use a small LPG single burner gas stove. The passageway to the house is filled with broken tiles which are purposely placed there because the soil beneath it is soft and muddy that the feet sink when it is stepped on. Presence of mosquitos, rats, and cockroaches were observed.
As mandated by a city ordinance about disposing garbage properly to their right place, Family Q do not practice this segregation by placing their garbage into their specified categories to avoid additional health problems in the family. But among those that are found planted in cans there are lagundi, oregano, ampalaya, pito-pito and tsaang gubat located beside their house.
Family QUOGUE Medical and Health History
Client Q. has been complaining of having difficulty falling asleep and staying asleep that started after giving birth to her second child. Client Q. and her partner has been experiencing coughs and cold for a week, and their 6-week old baby started to have colds in the morning during home visit the health provider teach them to used the available herbal plants outside their house and it is planted in a can .Proper instruction given to Client Q .
Client Q’s partner has been taking Solmux 1 cap 2x a day since he started coughing and having colds per doctor's order.
Client Q.’s OB score is G=2, P=2, T=2, P=0, A=0, L=2.
VITAL SIGNS are the following BP 100/80 mm/Hg Temperature 36.5c , Pulse Rate 100 beat/minutes ,
Respiration Rate 18 breaths per minutes ,
  
The client has stopped feeding her 6-week old son through breastfeeding because of her inverted nipples. She stated that her son could not suck on her breasts and has bad attachment. “I don't have time to visit the Health center for some Health counselling for my inverted nipple.”
Family Assessment Based on Functional Health Pattern
1) Health Perception - Health Management Patterns
In general, the members of the Quiogue family have no chronic illnesses and they rarely get sick and if they do get sick, it is usually coughs or colds. Mostly prefer herbal remedies than medications. It is when the herbal plants do not give relief from the symptom, they seek help from the Barangay Health Station and seek medical advice from the doctor.
2) Nutritional-Metabolic Pattern
The family eats three times a day. They prefer foods cooked in the CARINDERIA and canned goods. Her parents also helped the family as verbalized by Client Q once in a while, Client Q has no allergies to sea foods such as shellfish, crabs, and shrimps and all the family members can enjoy eating foods that they have during meal time.
The newborn baby is not satisfied during breastfeeding because of the inverted nipple of her mother . Need more attention from Client Q to give the proper breast feeding to her baby. as verbalized by the mother.
3) Elimination Pattern
Client Q has no difficulties during urination and defecation. They are able to defecate once or twice a day and able to urinate 3x a day or more .
4) Activity-Exercise Pattern
CLIENT Q is a working mother and a busy person so her mother helped her to watch her other child . She focuses on taking care of her child at home . Feels weak and with difficulty of sleeping after her second delivery of her child. FAMILY HEALTH HISTORY
Family’s health history, the client Q’s father who is aged 52 years old has been experiencing high blood pressure that started last 2018. Apart from that, the client’s immediate family members do not have any non-communicable diseases. Client Q. does not know her grandparents from her paternal side and her grandfather from her maternal side’s cause of death because they passed away before she was born.

Questions:
Family Nursing Care Plan
1. Supporting data/cues (Subjective & Objective)
2. Health Condition or Problem (State the Rank 1 prioritized problem)
3. Family Nursing Problems
4. Goal of Care
5. Objectives of Nursing Care
6. Interventions
7. Method of Family Contact
8. Evaluation



Name of the Family: FAMILY QUEEN

In: Nursing

please show calculations Q6. The child weighs 4.8 kg and the physician order reads “Administer  Digoxin 1.5...

please show calculations

Q6. The child weighs 4.8 kg and the physician order reads “Administer  Digoxin 1.5 mg PO every 8 hours”.  The safe therapeutic dosage range for Digoxin is 800 - 1000 mcg/kg/day. What is the therapeutic safe dosage range (in mg) in a day?

Q7. The child weighs 4.8 kg and the physician order reads “Administer  Digoxin 1.5 mg PO every 8 hours”.  The safe range for Digoxin is 800 - 1000 mcg/kg/day. Is this ordered drug within the therapeutic safe dosage range?

Q8. The toddler weighs 40 lbs and the physician order reads “Administer Codeine 1.5 mg po now."  The safe range for oral Codeine is 0.5 mg- 1.5 mg/kg/day every 4hr prn.  What is the safe therapeutic dose range (in mg) in one day for this child?

In: Nursing

please show calculations Q13. A child weighs 25 kg. The physician order reads “Administer Aqueous Penicillin...

please show calculations

Q13. A child weighs 25 kg. The physician order reads “Administer Aqueous Penicillin 800,000 units  IM every 6 hours."  The safe therapeutic dosage range is 100,000-250,000 units/kg/day.  The medication is available as an injection of Penicillin 1 million units/ 1.25 mL. What is the safe therapeutic dosage range (in units)/day?

Q14. The nurse is recording the Intake and Output for a client.  The client’s dinner consisted of:  half a pint of milk and a slice of watermelon.  What is the amount (in mL) the nurse will record for the fluid intake?

Q15. The physician order reads “Administer Aqueous Penicillin 800,000 units  IM every 6 hours." The medication is available as an injection of Penicillin 1 million units/ 1.25 mL.  What is the amount (in mL) the nurse will administer in one day?  

In: Nursing

Question 7.  Health researchers adhere to different sets of research methods that follow established paradigms.  In this course...

Question 7.  Health researchers adhere to different sets of research methods that follow established paradigms.  In this course you were introduced to two major health research paradigms : (1) the field of epidemiology, and (2) qualitative research methods.  

Briefly argue as to which of these two paradigms is best to foster deeper understandings of the causes, consequences and experiences of diseases.  Justify your opinion. (suggested length, 1 single spaced page).

In: Nursing

For the following health issues, please identify and briefly describe the most appropriate study design that...

For the following health issues, please identify and briefly describe the most appropriate study design that you have learned about in this course to study the issue. Provide a clear and accurate justification for each choice of study design (suggested length for each response, 3-4 sentences maximum). 1) Breast cancer and lifetime use of oral contraceptives 2) Health effects related to a high fat diet. 3) Vitamin D intake and risks for multiple sclerosis 4) The impacts of poverty among refugee children on academic outcomes 5) Health promotion educational campaign aimed at cessation from vaping in teenagers

In: Nursing

What is thermal conductivity and what does thermal conducivitiy necessary for what and thermal conductivity is...

What is thermal conductivity and what does thermal conducivitiy necessary for what and thermal conductivity is important for clinic but why?

In: Nursing

know how net protein catabolism can be prevented when a client has chronic kidney disease .

know how net protein catabolism can be prevented when a client has chronic kidney disease .

In: Nursing

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what are Common Signs and Symptoms
of Risk For Electrolyte Imbalance (Hyponatremia)

1.Nursing Care Plans
2.Nursing Assessment
3.Nursing Interventions

In: Nursing

Describe the most suitable healthcare setting for each communication mode (Hint: What healthcare function/action can be...

Describe the most suitable healthcare setting for each communication mode (Hint: What healthcare function/action can be better achieved with each communication mode). Provide examples.

In: Nursing

You have a new client that wants to begin an endurance cycling program under your guidance....

You have a new client that wants to begin an endurance cycling program under your guidance. They start by giving you the following information while filling out their Health screening questionnaire.

  • 45 yrs old and Female
  • Weighs 65 kg and is 162 cm tall
  • Smoker
  • Recreational cyclist (30 min of cycling 4x per week)
  • No current diagnosis of cardiovascular, pulmonary or metabolic disease
  • No major signs or symptoms of cardiovascular, pulmonary, or metabolic disease
  • No orthopedic limitations to exercise
  • Her father died of a heart attack at 65 yrs old, but her mother is still living at the age of 70.

She also brings you a blood profile and blood pressure from a visit to a physician last week. The results are below:

  • BP = 135/95 mmHg
  • HDL=50 mg/dL
  • LDL=149 mg/dL
  • Total cholesterol = 199 mg/dL
  • Fasting blood glucose = 80 mg/dL

She would like for you to assess maximal exercise capacity (VO2max) AND begin participating in high intensity cycling in order to train for an upcoming race in 8 weeks. Answer the following:

  1. List her risk factors for CVD
  2. Classify/stratify her as low, moderate or high risk for CVD
  3. Can you perform a VO2 max test on her? Explain why or why not
  4. Can she safely begin a high-intensity exercise training program? Explain why or why not.

In: Nursing

How would the following conditions, or patient populations, affect drug dosing: Renal dyfunction Hepatic dysfunction Obesity...

  • How would the following conditions, or patient populations, affect drug dosing:
    • Renal dyfunction
    • Hepatic dysfunction
    • Obesity
    • Pediatrics
    • Geriatrics

In: Nursing

1. An antibiotic is to be given after surgery at a dose of 20 mg/kg. If...

1. An antibiotic is to be given after surgery at a dose of 20 mg/kg. If a 750 mL solution was prepared containing 10% w/v of the antibacterial agent, how many milliliters would be given to the patient if the patient weighed 175 pounds?

2. An antineoplastic agent is to be administered via IV injection for osteosarcoma at a dose of 250 mg/m2. In renally-impaired patients, however, the dose is to be reduced by 17.5% if the patient has a BSA below 1.80 m2, and by 20% if the BSA is above 1.80 m2. How many milligrams of drug should be administered to a patient who is 5'5 in height, who weighs 125 lb, and is renally impaired?

3. A patient is to undergo a cycle of chemotherapy for multiple myeloma. Drug X has a dose of 45 mg/m2/day and is to be given at D1-4 of the cycle, whereas Drug Y, with a dose of 8 mg/m2/day, is to be given at D1-4 & 9-12. For a patient who is 5'11 and is 201lb, calculate the total amount in mg that the patient will receive for both drugs within the cycle.

In: Nursing

describe the difference between process and outcome measures. Discuss why these are important to the evaluation...

describe the difference between process and outcome measures. Discuss why these are important to the evaluation of piblic health programs and intervention

In: Nursing

Why is science and technology both a boon and a bane in human society? Point out...

Why is science and technology both a boon and a bane in human society? Point out some examples in explaining your points or arguments.

In: Nursing

please, can someone give me a rationale, onjectives, programs and budget for my project proposal. It...

please, can someone give me a rationale, onjectives, programs and budget for my project proposal. It is a scholarship program for medical students who pass the online examination. Please answer it as soon as possible.

In: Nursing