This is Mr. Burns. Mr. Burns is an 88-year-old male who had an emergent partial gastrectomy today because of a perforated ulcer. Mr. Burns has a history of CHF, hypertension, and he takes warfarin for atrial fibrillation. Because of the perforation, Mr. Burns lost quite a bit of blood prior to surgery, so he received 3 units of packed red blood cells in addition to 2 units of fresh frozen plasma for an elevated INR (it was 5 prior to surgery now it is 1.6). He also received 2 Liters of lactated ringers in the OR. He has a large abdominal incision with a cover dressing intact. There is some bloody drainage present on the dressing, which has been marked. He has an NG tube in the left nare to low intermittent suction. There is a small amount of dark drainage noted in the collection container. There is a central line present in the left neck that was placed by anesthesiology during surgery. He has an indwelling urinary catheter that is draining clear yellow urine. He reports incisional pain 5/10 and states this is tolerable. He is drowsy, but arousable and answers questions appropriately. He's received a total of 0.5 mg hydromorphone while int the PACU. VS are as follows: BP 110/84, HR 96, RR 16, SPO2 98% 2L/NC, T 98.6 F

What assessment data in this report is MOST concerning to you? *

1 urinary catheter draining clear yellow urine

2 abdominal dressing with some bloody drainage

3 NG tube with small amount of dark drainage

4 patient received 3 units PRBCs, 2 units FFP and 2 liters of LR

Other:

What complication are you concerned about based on the priority identified above? *

1 hypervolemia

2 urinary retention

3 hypovolemia

4 hemorrhage

5 electrolyte imbalance

6 aspiration

Mr. Burns arrives to the floor

You perform a full head to toe assessment and obtain a set of VS. Your VS are as follows: BP 148/86, HR 122, RR 26, SPO2 90% 2L/NC. You also note the following when you listen to the lungs:

You note crackles in Mr. Burns' lung assessment. What causes lungs to make this sound? *

1 air moving over a constricted airway

2 air moving over fluid

3 air moving past an obstruction in the larynx

4 movement of inflamed pleural surfaces

Based on your assessment, you notify the provider and expect which order? *

1 increase IV fluid rate

2 administer furosemide (lasix) 40 mg IVP x1 now

3 start ceftriaxone (rocephin) 2 grams IVPB Q6H

4 prepare the patient to return to surgery

1. Why does the patient with prostate cancer present with symptoms later in the disease?

from Surgical Technology for the Surgical Technologist: A Positive Care Approach, 5th ed.

Dr. Falcone is an emergency department physician who has just called the OR desk concerning a patient. He tells the charge nurse, "We have a 23-year-old male patient status post MVA, no air bag deploy, moderate facial injuries, bruising and swelling about the left eye, diplopia, and enophthalmos. CT confirms left orbital floor fracture. He'll be up in 10 minutes."

1. What does MVA stand for?
2. 
   
3. Define diplopia and enophthalmos.
4. 
   
5. What implant material must the CST confirm is sterile and available to repair the fracture?
6. 
   
7. What instrument is often used to free up the periorbital fat that is entrapped in the fracture?
8. 
   
9. If the fracture isn't stable after being reduced, what instrument tray should the CST have available?

APA FORMAT SOURCE!

Infectious Diseases. Please explain.

1. What causes infection, and how does the body protect itself from infectious disease?
2. How can infectious diseases be prevented?
3. What are the ways in which a pathogen can enter the body?
4. Infectious diseases can be considered diseases of “human behavior.” Explain that statement.

Assume that you are working for the Ministry of Health in the geriatric department. The department is planning to create a specific geriatric care model for older adults to meet their needs and enable them to be healthy while they are aging. Your supervisor asks you to address one of the common geriatric syndromes to be used in that model.

1. What is the geriatric syndrome that you are going to address?

2. Explain your approach/policy that you will use to help prevent/reduce the health issue? Explain it thoroughly.

3. Why do you think your approach is appropriate for that issue?

• Word count: 250
• Avoid plagiarism, Please I need unique answer
• Don't copy and paste, Don't use hand write

what are the activities we can use with preschoolers to teach them math espcially in the kitchen?

Nine principles of successful nursing leadership

Principle #4: Create and develop leaders

An old adage is, “If your unit or department can run without you, you have done your job.” This is true, so develop your succession plan early. You can’t doo it all alone. Identify your informal and formal leaders and invest in them. Take them to meetings with you; have them provide presentations to the staff and senior-level leaders. Find opportunities to highlight their strengths and minimize their weaknesses. Train them to be the next leaders.

I need to write a response to why this would be a good leadership style for a discussion board

Becky is a 33 year old woman. She is a G4 P3. She had a spontaneous vaginal delivery of a 4100 live female 4 hours ago following a precipitous delivery. Post-delivery, she received 10u of Pitocin IM. Her perineum is intact and she is feeling good. She breastfed her infant after delivery for 20 minutes without any issues. In the postpartum unit her fundus is firm at the umbilicus, her lochia is small to moderate. V.S. are stable. She rings her call bell and states "I feel dizzy and lightheaded". Upon entering the room, Becky is pale and there is a pool of blood on the floor. What are 4 interventions that the nurse should do? What are the risk factors for postpartum hemorrhage? What medical management should be initiated? Develop one nursing diagnosis and 3 nursing interventions for a patient experiencing a postpartum hemorrhage.

discuss the two types of diabetes and what you think you should know as a medical assistant?
type 1 diabetes:
type 2 diabetes:

1. Choose six dimensions of your identity that are important to you. This can include anything that you feel is significant. Possible dimensions could include (but aren’t limited to) race, culture, ethnicity, gender, sexual orientation, physical ability, religion, socioeconomic status, education, age, role, appearance, hobbies, and special skills. You can also include core attributes such as funny, generous, artistic, etc.

Professional groups enhance the practice of members through the following:

• Training
• Networking
• Publications
• Regulations

Healthcare associations work with government agencies and health organizations to regulate standards of risk management and to ensure the quality of services and patient safety.

• Discuss 2 different ways the American Society for Healthcare Risk Management (ASHRM) supports risk management efforts in healthcare organizations.

How do external regulatory institutions support healthcare organizations to establish standards for managing risks, and what is the role of internal governance in fostering such relationships?

Based on the label instructions, adding 4.5 mL of diluent to a vial containing 500 mg of powder will result in a concentration of 100 mg/mL. Calculate the volume of diluent to use if the desired concentration is 50mg/mL.

1. 10 mL
2. 0.5 mL
3. 9.5 mL
4. 1 mL

1. A 33 year old female who is 32 weeks pregnant comes in to the clinic for prenatal care. The nurse notices fingertip bruising around the client’s neck and on her abdomen. She is accompanied by her boyfriend into the examining room.

1. How does the nurse proceed to assess for the safety of the patient?

2. What information does the nurse need to gather?

3. Describe important components to be included in a safety plan developed by the nurse and patient.

4. What resources might be available in the community for this family?

5. What are the legal and ethical implications for the mother, the child, and the boyfriend?

2. Describe what the nurse can do to create an environment of trauma informed care on admission for a patient who has overdosed on Tylenol prior to admission.

3. The patient on the mental health unit is pacing in the hallways, yelling out, “shut up,” and begins punching and kicking into the air. As the nurse how should you respond?