Questions
Helicobacter pylori Infection: ACG Updates Treatment Recommendations Why might eradication treatments fail when it comes to...

Helicobacter pylori Infection: ACG Updates Treatment Recommendations

  1. Why might eradication treatments fail when it comes to clearing H. pylori infections?
  2. How might antibiotic susceptibility testing be used to circumvent treatment failure?

In: Nursing

--Compare a contrast a duplicate, overlap, and overlay "MPI errors watch video --Why is it important...

--Compare a contrast a duplicate, overlap, and overlay "MPI errors watch video

--Why is it important to avoid MPI errors? Illustrate with an example.

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How you can develop your own transformational leadership style by applying the four elements intellectual stimulation,...

How you can develop your own transformational leadership style by applying the four elements intellectual stimulation, individualized consideration, inspiration, motivation, and idealized influence to your nursing practice.

In: Nursing

How you can develop your own transformational leadership style by applying the four elements of intellectual...

How you can develop your own transformational leadership style by applying the four elements of intellectual stimulation, individualized consideration, inspiration, motivation, and idealized influence on your nursing practice.

In: Nursing

describe the how the circulatory system that utilizes a gastrointestinal system functionsin a) delivering oxygen and...

describe the how the circulatory system that utilizes a gastrointestinal system functionsin a) delivering oxygen and nutrients and b) getting rid of CO2 and wastes

In: Nursing

evaluaton of medication effectiveness of diazepam

evaluaton of medication effectiveness of diazepam

In: Nursing

Why is heart murmur sometimes present in anemic patients?

Why is heart murmur sometimes present in anemic patients?

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What resources do you use to improve your awareness of your communication skills in the professional...

What resources do you use to improve your awareness of your communication skills in the professional setting? What are the most effective communication skills that nurses bring to collaborative interactions? Why are those so important in your own practice?

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How does the iris promote eye color as well as the dilation and constriction of the...

  1. How does the iris promote eye color as well as the dilation and constriction of the pupil?
  1. What is the role of eyelashes when a foreign body invades the eye?
  1. Define the terms miosis, mydriasis, accommodation, near point, and cycloplegia in relation to the eye structures and functions
  1. Explain primary, secondary, and congenital glaucoma —as well as closed-angle glaucoma and open-angle glaucoma.

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What is the principal treatment for patients with open-angle glaucoma and the types of drugs used...

  1. What is the principal treatment for patients with open-angle glaucoma and the types of drugs used to control IOP?
  1. What are signs and symptoms of glaucoma and appropriate nursing interventions.
  1. A patient comes to the emergency department (ED) complaining of sudden headache, blurred vision, eye pain, and halos seen around white lights. He denies previous treatment of this problem. He states that he hit his head yesterday while fixing a bathroom sink. The nurse triages the patient and sends him immediately to the ED for further evaluation by the health care provider. What type of assessment should the nurse perform on this patient? Why does the nurse evaluate this patient’s complaint as a true emergency?
  1. A patient with acute closed-angle glaucoma is prescribed IV mannitol, an analgesic, and an antiemetic. What should the nurse caring for the patient look for after the mannitol is administered? Why did the health care provider order an analgesic and antiemetic? What type of environment should the nurse set up for this patient?

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If the goal is how to develop reliability and resilience in health care systems while embedding...

If the goal is how to develop reliability and resilience in health care systems while embedding a vision of zero avoidable harm into the culture of health care is it possible to reach "zero harm".

Describe what achieving this goal requires(what does an organization have to do).

In: Nursing

Read the case study. Then answer the questions at the end of the case study. The...


Read the case study. Then answer the questions at the end of the case study.
The patient is a 60-year-old Caucasian female presenting to the emergency department with acute onset shortness of breath. Symptoms began approximately 2 days before and had progressively worsened with no associated, aggravating, or relieving factors noted. She had similar symptoms approximately 1 year ago requiring hospitalization. She uses BiPAP ventilatory support at night when sleeping.
She denies fever, chills, cough, wheezing, and sputum production but does get short of breath easily.
There are no known ill contacts at home. Her family history includes significant heart disease and prostate malignancy in her father. Social history is positive for smoking tobacco use at 30 pack years. She quit smoking 2 years ago due to increasing shortness of breath. She denies all alcohol and illegal drug use. There are no known foods, drugs, or environmental allergies.
Physical Exam
Initial physical exam reveals temperature 97.3 F, heart rate 74 bpm, respiratory rate 24, BP 104/54, BMI 40.2, and O2 saturation 90% on room air.
Pulmonary/Chest: No respiratory status distress at this time, tachypnea present, (+) wheezing noted, bilateral rhonchi, decreased air movement bilaterally. Patient barely able to finish a full sentence due to shortness of breath.
ABG: Initial arterial blood gas with pH 7.39, PCO2 52, PO2 53.6, HCO3 24, and oxygen saturation 90% on room air.
1. What is your interpretation of the ABG results?
2. Based on the findings, what is the clinical diagnosis?
3. What medication would you anticipate the health care provider ordering?
4. What is the difference between Bipap and CPAP?

In: Nursing

describe how a closed circulatory system delivers oxygen and nutrients and picks up waste and carbon...

describe how a closed circulatory system delivers oxygen and nutrients and picks up waste and carbon dioxide. What types of organisms use a closed circulatory system?

In: Nursing

History of Present Illness MDJ is a 50-year-old woman whose routine mammogram showed a 2.3 -...


History of Present Illness

MDJ is a 50-year-old woman whose routine mammogram showed a 2.3 - 4.5 cm lobulated mass at the 3:00 position in her left breast. Sheunderwent a stereotactic needle biopsy and was diagnosed with infiltrating ductal carcinoma that was both estrogen and progesterone receptor positive. The staging workup was negative for distant metastasis. Her final staging was stage IIB. She had a modified radical mastectomy with lymph node dissection. The sentinel lymph node and 11 of 16 lymph nodes were positive for tumor cells.

Past Medical History

Her medical history is significant only for starting menstruation early, at age 10, and being chronically 20 to 30 pounds over- weight since high school.

Family History

She decided to have a mammogram after learning that her maternal aunt and grandmother were diagnosed with breast cancer in the past few months. Her mother was diagnosed with breast cancer ,8 years ago at age 50.

Personal and Social History

Her home exercise program includes walking and gardening, and she describes her diet as healthy. She works part-time from home as a research editor, which involves to a lot of time on the computer.

Admission Order

She is prescribed a chemotherapy regimen of six cycles of CAF (cyclophosphamide [Cytoxan] 600mg p.o. daily, PNSS 1 L +Fluorouracil [5-FU] 225 mg x 8hrs , and doxorubicin [Adriamycin])136 mg IV q 14days. During the her chemotherapy patient experiences a severe nausea and vomiting,loss of appetite,stomach upset but her oncologist give ZOFRAN(Ondansetron)4mg TIV q 4hrs.

She has now completed three cycles of CAF. Her height is 5 feet, 7 inches, and her weight is 155 pounds.

She comes to the emergency department with a 2-day history of fever, chills, and shortness of breath. On arrival, she is disoriented and agitated. Vital signs are BP =86/43, PR =119, RR= 28, T=39.8° C, O2Sat 85% on room air. Chest x-ray demonstrates diffuse infiltrates in the left lower lung. Her chem 14 is within normal limits, with the exception of BUN 28 mg/dL, creatinine 1.6 mg/dL, and lactic acid 2.4 mg/dL. requires endotracheal intubation and spends 3 days in the ICU receiving antibiotics and respiratory support. She is able to be extubated and returns to the oncology unit, where she remains for a few more days before being discharged to home.

Complete Blood Count

WBC

1200/mm3

Neutrophils

34%

Segmented (Polys)

30%

Bands

4%

Lymphocytes

60%

Monocytes

3%

Eosinophils and basophils

2%

Hct

24.9%

Hgb

8.7 g/dL

Platelets

85,000/mm



make a discharge planning

In: Nursing

Case study 2 – disorders of haemopoietic system Louise is a 57-year-old lady that has presented...

Case study 2 – disorders of haemopoietic system

Louise is a 57-year-old lady that has presented to her GP with •fatigue, weight loss, sweating, easy bruising, discrete ecchymosis, feeling of abdominal fullness’ and re recurrent mild upper respiratory tract infections (URTI) On examination she was found to have an enlarged spleen and small diffuse petechiae.

Lab test show the following results

  • Haemoglobin 90 g/L (115 – 165 g/L)
  • Platelet count 58 x 109/L (150 – 450 109/L)
  • White blood cell count 1.4 x 109/L ( 4.5 – 11 x 109/L)
  • Hct 0.61mL/L (61%) L ( 37 -47mL/dL)
  • Peripheral Blood smear WBC 76% are blasts

2a. Explain the possible causes of the abnormalities.                3 marks (1 mark for each abnormality)

  • Haemoglobin
  • Platelets
  • Peripheral blood smear

2b.     What history or clinical presentation can be linked to the abnormal haematological findings, support with rationale / explanation.                                                                                            3 marks (0.5 per CM 0.5 for explanation)

2c.       Describe and discuss the differentiation between Acute Myeloid Leukaemia and Acute Lymphocytic Leukaemia

In: Nursing