Questions
Ginny Baca is a 46-year-old nurse who recently had gastric bypass surgery. She is 65 inches...

Ginny Baca is a 46-year-old nurse who recently had gastric bypass surgery. She is 65 inches tall and weighed 302 pounds prior to surgery. She has lost 15 pounds in the month following her surgery and has advanced her post-surgery diet from clear liquids to solid foods. At her post-surgery visit, she is excited about her weight loss but also worried that she is not able to drink fluids like she used to. She has had two episodes of dumping after drinking soda with meals. She reports feeling bloated at times, even when she eats very small amounts of food.

1) Referring to “How to Alter the Diet to Reduce Symptoms of Dumping Syndrome” (p. 698), how would you address Ginny’s questions regarding her intake of fluids?

In: Nursing

P.J is an 82-year-old man who presents to the outpatient office for a 6-month check-up. Subjective...

P.J is an 82-year-old man who presents to the outpatient office for a 6-month check-up.

Subjective Data

Lives in assisted living apartments
Widower
One meal a day in dining room, has light meals for breakfast and lunch
Nonsmoker, never smoked
Retired police officer
Has three grown children who live nearby
Walks with cane
Complains of urinary incontinence

Objective Data

Vital signs: T 37.7 BP 108/62 HR 62 Resp 14
Height and weight = Within normal limits
Immunizations = Up-to-date
Medications: Digoxin (Lanoxin) 0.5 mcg per day, hydrochlorothiazide (HCTZ) 5 mg per day, aspirin 81 mg per day
Allergy to sulfa medications = Hives

Questions


What special considerations should the nurse keep in mind regarding the physical exam for individuals in this patient’s age group?


What similarities does assessment of older adults have to the assessment of younger adults?


What are the expected findings in the older adult for the following systems: skin, hair and nails, eyes and vision, ears and hearing, mouth, and musculoskeletal system?


What are some abnormal findings in the older adult for the following systems: skin, eyes and vision, ears and hearing, mouth, and musculoskeletal system?


Based on the readings and the objective and subjective findings, what is the most likely cause of this patient’s urinary incontinence?


What interventions should be implemented for this patient’s urinary incontinence


In: Nursing

what does heart , germs , cross , books symbolizes in E-health nursing ?

what does heart , germs , cross , books symbolizes in E-health nursing ?

In: Nursing

Provide a brief summary of your researched health services organizations implementing the forecasting methods.

Provide a brief summary of your researched health services organizations implementing the forecasting methods.

In: Nursing

I want good answer because that for project. thank you (: - The condition is Diabetes...

I want good answer because that for project. thank you (:

- The condition is Diabetes

Q1:Discussion of the health condition; information about the disorder/condition

Q2:Epidemiology of  Diabetes

Q3:

  • Evidence based nursing management of  Diabetes
    • Nursing assessment of  Diabetes
    • Nursing diagnosis of  Diabetes
    • Nursing interventions of  Diabetes

In: Nursing

Q.1: Suffixes & Prefixes (15 x 0.3 = 4.5 marks) Suffix Meaning Terminology -gram        record -algia...

Q.1: Suffixes & Prefixes (15 x 0.3 = 4.5 marks)

Suffix

Meaning

Terminology

-gram       

record

-algia

pain

-osis

abnormal condition

-plasty

surgical repair

-ist

specialist

-ole

little, small

-ic

pertaining to

-y     

condition, process

-sclerosis

hardening

-megaly

enlargement

-globin

protein

-itis

inflammation

-emia

blood condition

Prefixes

Meaning

Terminology

contra-

against, opposite

anti-

against

dys-

difficult

hemi-

half

ec-    

out, outside

mal-

bad

neo-

new

sub-

under

poly-

many, much

de-

down, lack of

nulli-

no, none

trans-

across, through

Q.2: The body cavities (5.5 marks)

  • Body cavities are the spaces within the body that contain internal organs (viscera).

Cavity

Organ(s)

The ventral cavities

The dorsal cavities

  • Combining Forms (ROOT), Suffixes, & Prefixes (2.5 marks)

Combining Forms (ROOT), Suffixes, & Prefixes

Meaning

Terminology

inguin/o

groin

umbilic/o

navel

chrom/o

color

adip/o

fat

-type

picture, classification

-eal     

pertaining to

-plasm

formation

ana-    

up

epi-     

above

meta-

change

Q.3: Vocabulary (15 x 0.5 = 7.5 marks)

*Nephron:

*Renin:

*Erythropoietin (EPO):

*Dialysis:

*Amnion:

*Corpus luteum:

*Estrogen:

*Fertilization:

*Follicle-stimulating hormone (FSH):

*Human chorionic gonadotropin (HCG):

*Testosterone:

*Semen:

*(Cowper glands):

*Epididymides:

*The prostate

In: Nursing

What is the Impact on client factors for Schizophrenia, Major Depressive Disorder and Bipolar Disorder? Give...

What is the Impact on client factors for Schizophrenia, Major Depressive Disorder and Bipolar Disorder? Give 3 for each one.

In: Nursing

Define Major Depressive Disorder. Then state the Etiology, Prognosis, Symptoms, Signs and Complications for this condition.

Define Major Depressive Disorder. Then state the Etiology, Prognosis, Symptoms, Signs and Complications for this condition.

In: Nursing

When you go to the pharmacy, there are many choices for the same medication (ex. Aspirin)....

When you go to the pharmacy, there are many choices for the same medication (ex. Aspirin). [Store brand, Aleve, Tylenol, Anacin, Bayer, and so many more]


What specific ingredients of Aspirin that relieve inflammation, aches and pains?


What is the difference between aspirin, acetaminophen, and naproxen? Please explain.


In: Nursing

Jasmine is a 65-year-old, non-smoker Hispanic female who is referred by her physician to see you...

Jasmine is a 65-year-old, non-smoker Hispanic female who is referred by her physician to see you for management of her Type 2 diabetes. She complains of increasing numbness in her feet and occasionally in her fingers, and frequent urination during the day and overnight. She was diagnosed with diabetes type 2 about 10 year ago and has been on metformin drug. However, she was not taking her medicine regularly as she thinks it wasn’t necessary. From interviewing her and reviewing her health record, you learn the following about her:

Education: Low education level (8th standard).

Occupation: Not employed outside the home, babysits infant grandchild on a daily basis

Household Members: Lives with her husband and with one of her four adult children.

Ethnic Background: Latin American, born in Mexico.

Religious Affiliation: Catholic

Language: Native Spanish, speaks English – has difficulty reading English

Patient History: Weighed more than 9 lb at birth.

Family history: Mother had type 2 diabetes

Medical History: Type 2 diabetes, hypertension, hyperlipidemia, hypothyroidism, episodic migraines

Physical exam shows the following:

Weight: 201 lbs.

Height: 5’2” inches,

Temp: 98.6 F

BP: 143/88 mm Hg

Heart rate; 80 bpm

Labs: A1C 9.8%; Total cholesterol 144 mg/dL, LDL 116 mg/dL, HDL 54 mg/dL; Triglycerides (TG) 545 mg/dL.

Recommended lab values

HbA1c

< 7.0%

BP

< 140/90 mmHg

LDL-C

< 100 mg/dL)

TG

< 150 mg/dL

HDL-C

> 40 mg/dL in men

> 50 mg/dL in women

Nutritional history

General: Good appetite, with wide consumption of foods and beverages. She plans and prepares meals for the household.

Performed a 24-hour diet recall.

Breakfast: coffee with milk and sugar (several spoons) + sweet bread 3 to 4 pieces

Lunch: chicken and vegetable soup, home-prepared fruit juice (1-2 x 16ounce glass) + soft drink

Dinner: Largest meal – chicken/beef, rice (2 cups) and beans (1½ - 2 cups), 1 corn tortillas (4-6), home-prepared fruit juice (1-2 x16 ounce glass) + soft drink

Afternoon snack: 1 can “natural” cola 1 3 to 4 sugar-free cookies

Evening snack: Cookies + soft drinks

Food allergies/intolerances/aversions: None

Question 1: Based on above case study, answer the following questions.                                     (Total 9 marks)

            A. Write three Nutrition diagnostic statements (PES) for Jasmine as instructed below:

One PES from intake domain

One PES from medical domain

One PES from behavioral and environmental

            B. Write one Goal for each PES statement, based on signs and symptoms.

In: Nursing

Connie wants to increase her intake of omega-3 fatty acids in an effort to prevent heart...

Connie wants to increase her intake of omega-3 fatty acids in an effort to prevent heart disease, hypertension and cancer. Which of the following would you recommend to Connie?

Group of answer choices

increase her consumption of vegetable oils

take omega-3 supplements

eat at least 2 servings of fatty fish each week

eat more fruits

In: Nursing

Workers’ compensation cases provide one of the few situations in which a health care provider may...

Workers’ compensation cases provide one of the few situations in which a health care provider may disclose a patient’s protected health information to an employer without the patient’s authorization. Workers’ compensation claim information is not subject to the same confidentiality rules as other medical information. What is the reason for this exemption?

In: Nursing

whag are the medications for acute tubular necrosis?

whag are the medications for acute tubular necrosis?

In: Nursing

What is the hypotheses for title: knowledge, attitude and barriers of nursing research among Bsc nursing...

What is the hypotheses for title: knowledge, attitude and barriers of nursing research among Bsc nursing students in SQU?

Independnt variables : knowledge, attitude and barriers

Dependent variables :nursing research

In: Nursing

Briefly discuss the key provisions of The Patient Protection and Affordable Care Act. Is the current...

Briefly discuss the key provisions of The Patient Protection and Affordable Care Act. Is the current medical care system sustainable over time? Why or why not?

In: Nursing