In: Nursing
Mr. Gennaro is a 61-year-old Spanish-speaking man who presents to emergency room with his wife Dolores. Mr. Gennaro is also Spanish-speaking, but understand some English. Mr. Gennaro complains of nausea and vomiting for two days and symptoms of confusion. His blood glucose is 796 mg/dL. Intravenous regular insulin is prescribed and he is admitted for further evaluation. He will require teaching regarding his newly diagnosed diabetes.
He is a past medical history of coronary artery disease (CAD) and hypertension (HTN). Smokes one pack of cigarettes per day; tobacco use for 35 years. He also takes jerbero, and curandera.
Mr. Gennaro is newly diagnosed with diabetes. His hemoglobin A1c is 10.3%. Mr. Gennaro is slightly overweight. He is 5’10” tall and weighs 174 pounds. He reports no form of regular exercise. He does not follow a special diet at home. He states, “I eat whatever Dolores puts in front of me. She is a good cook.” Neither can recall how long it has been since these changes are Mr. Gennaro began. Dolores states, “it has been quite a while now. It just seems to be getting worse and worse.”
The nurse does not speak Spanish. Discuss what the nurse should keep in mind to facilitate effective communication using an interpreter. What is the difference between the role of a medical “interpreter” and that of a medical “translator”?
Describe the following serum glucose tests used to help confirm the diagnosis of diabetes mellitus: casual, fasting, postprandial, and oral glucose tolerance test.
When evaluating Mr. Gennaro’s postprandial results, what is important to consider regarding his age and tobacco use?
Explain what hemoglobin A1c lab test tells the healthcare provider.
How might the nurse briefly explain what diabetes is in lay terms to Mr. and Mrs. Gennaro?
In: Nursing
Mr. Gennaro is a 61-year-old Spanish-speaking man who presents to emergency room with his wife Dolores. Mr. Gennaro is also Spanish-speaking, but understand some English. Mr. Gennaro complains of nausea and vomiting for two days and symptoms of confusion. His blood glucose is 796 mg/dL. Intravenous regular insulin is prescribed and he is admitted for further evaluation. He will require teaching regarding his newly diagnosed diabetes.
He is a past medical history of coronary artery disease (CAD) and hypertension (HTN). Smokes one pack of cigarettes per day; tobacco use for 35 years. He also takes jerbero, and curandera.
Mr. Gennaro is newly diagnosed with diabetes. His
hemoglobin A1c is 10.3%. Mr. Gennaro is slightly overweight. He is
5’10” tall and weighs 174 pounds. He reports no form of regular
exercise. He does not follow a special diet at home. He states, “I
eat whatever Dolores puts in front of me. She is a good cook.”
Neither can recall how long it has been since these changes are Mr.
Gennaro began. Dolores states, “it has been quite a while now. It
just seems to be getting worse and worse.”
Explain the difference between type I diabetes type II diabetes and who is at increased risk for developing each type. Based on this understanding, which type of diabetes does Mr. Gennaro have?
Discuss the prevalence of diabetes and the potential long-term complications of diabetes.
List five nursing diagnosis appropriate to consider for Mr. Genaro.
Discuss Mr. and Mrs. Gennaro’s learning needs. Consider the communication preferences of Mexican Americans.
Discuss the dietary recommendations for diabetics based on the diabetic food pyramid.
In: Nursing
Mr. Gennaro is a 61-year-old Spanish-speaking man who presents to emergency room with his wife Dolores. Mr. Gennaro is also Spanish-speaking, but understand some English. Mr. Gennaro complains of nausea and vomiting for two days and symptoms of confusion. His blood glucose is 796 mg/dL. Intravenous regular insulin is prescribed and he is admitted for further evaluation. He will require teaching regarding his newly diagnosed diabetes.
He is a past medical history of coronary artery disease (CAD) and hypertension (HTN). Smokes one pack of cigarettes per day; tobacco use for 35 years. He also takes jerbero, and curandera.
Mr. Gennaro is newly diagnosed with diabetes. His hemoglobin A1c is 10.3%. Mr. Gennaro is slightly overweight. He is 5’10” tall and weighs 174 pounds. He reports no form of regular exercise. He does not follow a special diet at home. He states, “I eat whatever Dolores puts in front of me. She is a good cook.” Neither can recall how long it has been since these changes are Mr. Gennaro began. Dolores states, “it has been quite a while now. It just seems to be getting worse and worse.”
Discuss how culture may influence Mr. Gennaro’s diabetes management interpreting food choices diet and exercise and use of an alternative healthcare provider.
Discuss what Mr. Gennaro should be taught about how to manage his diabetes on days that he is ill.
Mr. Gennaro meets his friends at a local bar once a week for beer or two. What impact does alcohol have on diabetes? Should he discontinue the social activity?
In: Nursing
You have a preceptee assigned to work with you for 6 weeks. She has been a nurse for two years and has been working in an ICU. Her name is Elissa and she is approximately 25 years old. You work on a busy med-surg unit where several nursing assistants have been employed 15 years or more. After 3 weeks you notice she never delegates any tasks to the nursing assistants and she cannot complete all of her work by the end of the shift.
What are some possible reasons for Mindi’s behavior?
How should you as the preceptor guide Mindi in delegating to the nursing assistants?
Using the 5 rights of delegation, develop a plan of action with Mindi.
Your preceptee, Melody, is 40ish. She graduated from a local nursing program 3 months ago and she is now an RN. She has been working with your for 2 weeks. You began her patient load with one patient and she did a great job although she seemed to stay busy with this assignment. She is very thorough in everything she does. Her technical skills are excellent. You have been progressively moving up her patient assignments. This morning you assigned her three patients. She completed and charted her morning assessments. The charge nurse and the unit secretary are away from the floor. Now at 11:00 a.m. she was getting ready to go to lunch and the following things happen?
Mr. Price who was admitted yesterday with DVT complains of acute shortness of breath.
Mrs. Manning’s accucheck is due at 11:00, her IV is infiltrated, and she has a 12:00 antibiotic.
Dr. Lovell is standing at the desk demanding LOUDLY that an old chart be requested to the unit STAT for Mr. Clark who was admitted with pneumonia two days ago and is stable.
How is Melody as a novice or advanced beginner likely to feel in this situation?
What can you as the preceptor do to help?
How would you direct Melody in managing this situation?
In: Nursing
Choose one long-term care patient population. Briefly describe the population with a focus on population size, access to formal long-term care services, and the estimated mix of informal to formal care. Explain why individualization, integration, and coordination are essential to the delivery of long-term care in this context. How are formal services for this group financed? Does this group (primarily) receive care in an institutional or community setting? Why? Do you expect that to change in the next 5-10 years? Why?
In: Nursing
QUESTION 1: It is legal to transport medical marijuana across state lines.
True
False
QUESTION 2: The Human Genome Project succeeded in mapping the human _______ sequence.
QUESTION 3: The conscience clause a federal law.
True
False
QUESTION 4: What specific law does not allow employers to use genetic information to discriminate against employees or applicants applying for jobs?
a. |
Patient Bill of Rights |
|
b. |
Genetic Information Nondiscrimination Act |
|
c. |
Conscience Clause |
|
d. |
Dickey-Wicker Amendment |
QUESTION 5: Select all factors from the list that according to Chapter 9, would be considered when matching organ donations with recipients.
a. |
Health of donor and recipient |
|
b. |
Income Level |
|
c. |
Compatibility |
|
d. |
Size of donor and recipient |
|
e. |
Education level |
|
f. |
Geographic Location |
|
g. |
Age of donor and recipient |
QUESTION 6: The _____________________________________ states the patients have the right to choose whether to participate or not participate in research studies.
a. |
Patient Bill of Rights |
|
b. |
National Organ Transplant Act |
|
c. |
Affordable Care Act |
|
d. |
The Conscience Clause |
In: Nursing
In: Nursing
Write a 100 to 200-word statement connected to Social Media, include at least one specific reference (okay if it is from another source).
Make sure to include two positives and two downsides to using Social Media in Healthcare.
In: Nursing
emma is a 72-year-old retired accountant who lives independently in her own home. emma weighs 90 kg and is 156 cm tall. Her waist circumference is 100 cm. emma enjoys a quite lifestyle. She uses alcohol infrequently and consumes restaurant food a few times a week. She currently takes 400 IU of vitamin D daily.
emma wants to undergo cataract surgery to improve her vision, however the surgeon has advised her to take off at least 10 kg of weight before the operation.
1. What indications would lead you to believe emma is adequately caring for her health?
2. What additional laboratory tests and dietary health information are needed to perform a comprehensive nutritional assessment?
3. What conclusions can you draw from the information available about emma's weight status?
4. Using Canada's new Food Guide, released in January 2019 (available at https://food-guide.canada.ca/en/), what suggestions would you make to emma to help her achieve weight loss?
In: Nursing
hiw effectively did your group work ? with refernce or
citation please ?
In: Nursing
Mr. Gennaro is a 61-year-old Spanish-speaking man who presents to emergency room with his wife Dolores. Mr. Gennaro is also Spanish-speaking, but understand some English. Mr. Gennaro complains of nausea and vomiting for two days and symptoms of confusion. His blood glucose is 796 mg/dL. Intravenous regular insulin is prescribed and he is admitted for further evaluation. He will require teaching regarding his newly diagnosed diabetes.
He is a past medical history of coronary artery disease (CAD) and hypertension (HTN). Smokes one pack of cigarettes per day; tobacco use for 35 years. He also takes jerbero, and curandera.
Mr. Gennaro is newly diagnosed with diabetes. His hemoglobin A1c is 10.3%. Mr. Gennaro is slightly overweight. He is 5’10” tall and weighs 174 pounds. He reports no form of regular exercise. He does not follow a special diet at home. He states, “I eat whatever Dolores puts in front of me. She is a good cook.” Neither can recall how long it has been since these changes are Mr. Gennaro began. Dolores states, “it has been quite a while now. It just seems to be getting worse and worse.”
In: Nursing
In: Nursing