Joni Winters, a 64-year-old female client, is
admitted with a fractured hip. She has chronic renal failure and
has continuous peritoneal dialysis (CAPD) exchanges every 6 hours.
The Tenckhoft peritoneal catheter site has redness and swelling
which goes across the abdomen. The client states that her abdomen
is tender to touch all over, and the nurse notes the abdomen is
rigid. The bowel sounds are decreased, and the peritoneal dialysate
is in the dwelling phase of the cycle. The vital signs are T,
101°F; BP, 140/90 mm Hg; HR, 110 beats/minute; RR, 28
breaths/minute. Answer each question below:
d. For the 5 electrolytes in Letter C, explain why
each of these is lower or higher than normal. (Not just because she
missed her dialysis).
e. What will the lab values of specific gravity and
urine creatinine clearance be if the client cannot have her
dialysis?
f. Explain why her blood pressure and heart rate would
be elevated if she did not have her dialysis.
g. Why will the client be anemic in renal failure?
What medication will be given to help improve this
problem
In: Nursing
Write prescription for following conditions and an alternative medications for patients who may have allergies to Penicillin.
1. 54 yr old female with Chlamydia.
2. 40 yr old female on Copper T- IUD and with acute PID that is managed on outpatient setting.
3. 65 yr old female with vaginal Candidiasis.
4. 60 yr old male with Acute Prostatitis.
5. 62 yr old male with acute Gout on Left great toe.
In: Nursing
Topic: Legal health record.
Provide a detailed description of the topic, discuss its important.
In: Nursing
Madison is a 10 year-old African American girl. She loves playing the piano and composing her own music. She is an avid computer wiz, taking after her father. She has designed all the family birthday cards and loves playing video games. When she comes home from school, she has a sweet snack, finishes her homework, and goes straight to the piano to practice. She spends hours at the keyboard, and by mealtime she says she is hungry.
Madison is 48 inches tall and weighs pound. Knowing that the family has a tendency to be heavier, her mother, Amy, is concerned about Madison's weight; Amy has been on and off Weight Watchers program for 15 years. Amy feels Madison should have more physical activity and needs to stop snacking on cupcakes and sweets. Madison is due for a preschool checkup. Amy is planning to ask the doctor for help with Madison's weight.
HOW DO DIET, ACTIVITY, HEREDITY AND FAMILY LIFESTYLE IMPACT HER CURRENT WEIGHT?
In: Nursing
Joni Winters, a 64-year-old female client, is
admitted with a fractured hip. She has chronic renal failure and
has continuous peritoneal dialysis (CAPD) exchanges every 6 hours.
The Tenckhoft peritoneal catheter site has redness and swelling
which goes across the abdomen. The client states that her abdomen
is tender to touch all over, and the nurse notes the abdomen is
rigid. The bowel sounds are decreased, and the peritoneal dialysate
is in the dwelling phase of the cycle. The vital signs are T,
101°F; BP, 140/90 mm Hg; HR, 110 beats/minute; RR, 28
breaths/minute. Answer each question below:
1. The following lab values will have a change from normal if the peritoneal dialysis is missed for 3 consecutive days:
Potassium
Sodium
Magnesium,
Calcium,
Phosphorus.
For each of these electrolytes indicate if they will be increased or decrease.
2. For the 5 electrolytes explain why each of these is
lower or higher than normal. (Not just because she missed her
dialysis).
In: Nursing
Choose a disorder of Pediatric patients and a drug therapy to treat it. Detail the drug, side effects, drug-drug interactions, food-drug interactions, and any teaching needed for the patient.
Please answer every question and be detailed. PLEASE CITE YOUR SOURC. I will give thumbs up!
In: Nursing
What are your beliefs about nursing? which nursing theory is your belief based on?
In: Nursing
In: Nursing
Scenario:
An American Indan woman, 28 years old, staggers into the ED face is black with soot, her right arm and right leg burned, bleeding vaginally,pregnant, vomiting, bloody diarrhea, SOB,very confused, and jaundiced.
Set the scene. Use your imagination and describe this woman, her personal and medical history. You decide the conclusion of this scenario. This is a very detailed scenario, so don't cut it short.
In: Nursing
Research and briefly describe oral hygiene for a partial or fully edentulous person. Include in your response:
• Care of dental prosthetics
• Care when cleaning dentures
• Screening for oral health conditions
• Care of oral soft tissues
In: Nursing
Assignment of Summative Report of Learning Plan and Micro-Teaching Session
create teaching session about smoking cessation and writ Summative Report of Learning Plan and Micro-Teaching Session
1) health-related topic is smoking cessation
2) Learning objectives
i. Identify what information is most important to know/incorporate into clinical practice?
ii. Consider the topic; what are the focused, critical learning components
What "clinical pearls" can teach that would benefit their patient populations?
3)Teaching strategies
i. Consider students and available resources when designing teaching strategies. Look to the literature for ideas.
Think about the types of learners in classroom, are they visual, kinesthetic, or perhaps auditory learners, or are they a combination learner? Would the use of technology or simple lecture be most valuable for imparting information to this group?
b. Evaluation method
i. How will evaluate learning outcomes? Think about the brief amount of time will have to present topic, this time must include a method of evaluation for assessing learning- what method could incorporate into lesson to ensure that your audience grasped the key concepts trying to impart?
In: Nursing
Using an example drawn from current public health practice in the United States, explain: When and under what circumstances is it acceptable for state or local health departments to infringe upon the liberty of individuals to further the public's health? How should such interventions be conducted in order to be as respectful as possible of the competing and/or shared interests of affected individuals (those whose autonomy is infringed) and others in the community? (700-800 words with 3-4 references)
In: Nursing
Consider your area of interest (epidemiology) and the related health issue you have been working on during the first half of the course ( COVID-19).What research would you like to complete to add to the knowledge base? What would be needed to complete your ideal study? Who would you need to include in designing your study?
In: Nursing
Identify a family member or a friend, not a client, and conduct a pain assessment using the COLDERR approach/questions. Provide a brief summary of what you found and identify tw/o nursing non-pharmacological interventions that you might recommend.
In: Nursing