Questions
Olivia is a 33 year old G3 P2 who just gave birth to her 8 lb....

Olivia is a 33 year old G3 P2 who just gave birth to her 8 lb. 9 oz. baby boy by cesarean section after 15 hours of labor for failure to progress. The baby’s Apgar scores: 1 minute: 8 5 minutes: 9. The baby was admitted to the newborn nursery for evaluation and transition. Olivia was transferred to the postpartum unit, where you are the nurse and have assumed care of Olivia. You introduce yourself, orient her to her room, call light and review safety precautions. You perform your first assessment on Olivia and VS are within normal limits, fundus is firm, incision is intact, small amount of vaginal bleeding, no blood clots, lower leg edema is 1+, Foley catheter is in place and draining to gravity. Olivia appears withdrawn and asks to rest while her baby is in the nursery. Her husband and family have left to get breakfast and to rest after spending time with her and the baby while she was in recovery. Her husband plans to return after lunch. Olivia admits to you that she is disappointed that she could not have her baby vaginally after all she had done to prepare for the birth of her baby. She states “this baby was way too big.”

  1. What about the initial assessment and conversation with Olivia would you want to evaluate further?
  2. Explain “baby blues” and postpartum depression.
  3. Does Olivia show signs of “baby blues” or postpartum depression? If yes what would concern you?
  4. What interventions would you as the nurse implement if you noticed signs of “baby blues” or postpartum depression?

In: Nursing

What is the difference between reports, requests for proposals, and proposals?.

What is the difference between reports, requests for proposals, and proposals?.

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Cardiovascular disease remains prevalent in the United States. Choose a cardiac disorder and post the latest...

Cardiovascular disease remains prevalent in the United States. Choose a cardiac disorder and post the latest research, treatment protocols, and possible preventative measures.

**Cite your sources in APA format.

Pathophysiology question

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What is the conceptual defination and operational defination of knowledge?

What is the conceptual defination and operational defination of knowledge?

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Q: Below presents six observations recorded during a waste walk at a hospital ward. Discuss the...

Q:
Below presents six observations recorded during a waste walk at a hospital ward. Discuss the types of Muda for each observation, and classify them accordingly. There are 8 waste: defects, overproduction, waiting, not using staff talent, transportation, inventory, motion and excessive processing.

1. Non-bed ridden patients were being transported to the ward by bed instead of wheelchair. After which, the porter had to bring back the bed to the ward.

2. Patients waited an average of 45 mins before the ward clerk could process the necessary paper work to facilitate the ward transfer.

3. The ward clerk was observed to make multiple trips between the ward clerk station and the various beds to get stationaries and forms.

4. Observations were made of various nurses performing vital measurements on a number of patients on more than one occasion within a short time interval of 30 mins.

5. On a number of blood test request forms, the supervising clinician’s signatures were missing and the nurses had to call the clinicians back to ward.

6. Patients who were required to undergo radiologic diagnostic tests (e.g. X-ray), had to be transported to the Diagnostic Imaging Centre that is three blocks away. The end-to-end transportation process took an average of 3.5 hours per patient.

Please indicate which waste is belong to each scenario and explain the reason in detail.

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summarize the growth and development of the middle child, young adult, middle adult and adolescent showing...

summarize the growth and development of the middle child, young adult, middle adult and adolescent showing milestones, growth patterns, cognitive development as related to 2 theorist study of the age group and play , exercise

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The decision to develop your own medical bag touches on three spheres: identity, clinical settings, and...

  • The decision to develop your own medical bag touches on three spheres: identity, clinical settings, and other practical considerations as Nurse Practitioner. What are the pros and cons of purchasing your own equipment and developing your own medical bag as Nurse Practitioner?
  • What are the priorities for your medical bag as Nurse Practitioner? For example, Medical Bag includes if you plan to take care of patients with diabetes, you will need a glucose monitor and test strips, or if you want to take care of children, you may want to have some brightly colored stickers to play with.

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A middle-age man presents to the emergency department (ED) with reports of chest pain and indigestion....

A middle-age man presents to the emergency department (ED) with reports of chest pain and indigestion. He reports some minor discomfort in his jaw. The patient is alert and oriented; BP 90/50; HR/80. You are the RN assigned to his care. There is an unlicensed assistive personnel (UAP) working with you.

1. Which assessment data will you perform on his arrival to the ED? Why?

2. The provider orders labs, 12-lead ECG, IV fluids, blood pressure checks, medication for chest pain, and oxygen at 2 L per nasal cannula. What part of the patient's care will you delegate to the UAP? Which information will you communicate on delegation?

3. Which interventions will you implement to ensure this patient's safety?

4. Which priority information will you document in the patient's electronic health record?

5. The patient's wife is very concerned about her husband returning to work as owner of a roofing company. What education will you provide the patient and his wife at this time? With which health care team members will you collaborate to ensure positive patient outcomes?

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What dynamics prevent a battered spouse from leaving the battering situation? Identify nursing interventions for working...

  1. What dynamics prevent a battered spouse from leaving the battering situation?
  2. Identify nursing interventions for working with a rape survivor.
  3. What is the cycle of violence?

In: Nursing

please understand this discussion ,and how as a student I might begin to talk a community...

please understand this discussion ,and how as a student I might begin to talk a community of people about the importance of need things ,

name 3  important indicators(LHI) that a student would like to promote as a community health nurse.

Discuss why these three indicators might be important to the community ?

Identify a primary, secondary or tertiary prevention strategy that you would use to improve the health of people in the community using one of these selected indicators

1. Substance Abuse,Health Impact of Substance Abuse

2.Tobacco,Health Impact of Tobacco Use

3.Mental Health, Health Impact of Mental Health untreated

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How important is it to involve physicians in financial improvement efforts? What is the best strategy...

How important is it to involve physicians in financial improvement efforts? What is the best strategy for physician engagement?

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The following is a list of physiologic and psychosocial assessment data. Choose each piece of data...

The following is a list of physiologic and psychosocial assessment data. Choose each piece of data that should be assessed further when there is a concern about failure to thrive. Select all that apply.

a.

Avoidance of eye contact or touch

b.

Weight less than 3rd to 5th percentile

c.

Unresponsive to cuddling

d.

Inability to establish a sense of trust in caregiver

e.

Decreased muscle mass

f.

Intense watchfulness

g.

Wary of caregivers

h.

Muscle hypotonia

i.

Nonnurturing parenting behaviors

j.

Sleep disturbance

k.

Sudden deceleration in growth or weight loss

l.

Delay in reaching milestones

m.

Lack of preference for parents

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1)Why RA increases the risk of osteoporosis, CV diseases and chronic kidney disease ? 2),Why biologic...

1)Why RA increases the risk of osteoporosis, CV diseases and chronic kidney disease ?

2),Why biologic DMARDs require a trial period of 3-6 months to judge their efficacies?

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Case Study: Mitral Stenosis Patient Profile L.S. is a 59-year-old female who goes to see her...

Case Study: Mitral Stenosis

Patient Profile

L.S. is a 59-year-old female who goes to see her primary care provider because of increasing fatigue and shortness of breath with activity. She has a history of hypertension, hypothyroidism, rheumatoid arthritis, and rheumatic fever as a child. She is taking the following medications:

Triamterene/hydrochlorothiazide 37.5/25 mg PO daily
Levothyroxine 150 mcg PO daily
Methotrexate 15 mg PO every Sunday
Subjective Data

Does not exercise, but was always able to do daily activities such as go up and down the stairs of her home and go grocery shopping
The last few weeks has noticed that she gets short of breath with her normal daily activities
Has been waking up at night short of breath
Denies any pain in her chest
Does not have any pain in her joints as long as she takes her “arthritis medicine”
Objective Data

Physical Examination

Temperature 98.5° F, pulse 88 and irregular, respirations 24, blood pressure 134/82, O2 saturation 92%
Irregular heart rate with a grade III diastolic murmur
Crackles in bilateral bases of lungs
No peripheral edema noted
Diagnostic Studies

ECG shows atrial fibrillation with heart rate of 90
Echocardiogram reveals mitral valve stenosis with mild left-sided heart failure
Laboratory Studies:
Hemoglobin 12 g/dL
Hematocrit 37%
T4 (total) 5.1 mcg/dL
Discussion Questions

What is mitral stenosis? What could be the possible cause of L.S.’s mitral stenosis
What clinical manifestations of mitral valve stenosis does L.S. have?
How did the mitral valve stenosis contribute to the development of left-sided heart failure?
What clinical manifestations of left-sided heart failure does L.S. have?
What are the treatment options for L.S.?
What would be some pertinent nursing diagnoses and goals for L.S.?
What are the priority nursing interventions for these nursing diagnoses?

In: Nursing

Case Study: Deep Vein Thrombosis Patient Profile D.R. is a 74-year-old obese Hispanic woman who is...

Case Study: Deep Vein Thrombosis

Patient Profile

D.R. is a 74-year-old obese Hispanic woman who is in the third postoperative day after an open reduction internal fixation (ORIF), for repair of a left femoral neck fracture after a fall at home.

Subjective Data

States pain in her left hip is a 4 to 5 on a 1-to-10 scale
States pain in her left calf area is a 3 on a 1-to-10 scale
Objective Data

Physical Examination

Vital signs: blood pressure 140/68, pulse 64, temperature 98.7° F, respirations 20
Oxygen saturation 93% on room air
Lungs clear all lobes
Bowel sounds arepresent in all four quadrants
Apical pulse: 64, irregular
Alert and oriented to person, place, and time
Skin warm to touch bilateral lower extremities, slight erythema left lower extremity
No edema right lower extremity, 2+ left lower extremity
Pedal pulses 3+ right lower extremity, 1+ left lower extremity
Calf circumference: right, 8 cm; left, 10 cm
Left hip wound has staples; no signs or symptoms of infection
Last bowel movement was four days ago
Interprofessional Care

Medication Administration Record

Morphine sulfate 2 mg IVP every two hours as needed for pain scale 6-10
Lisinopril 20 mg PO daily
Bisacodyl 10 mg PO daily
Discussion Questions

What do you suspect is occurring with D.R.? What data were used to make this determination?
What are the priority nursing interventions at this time?
Using SBAR, what would you report to the provider?
What diagnostic studies would be used to determine the existence, location, and extent of a DVT?
What risk factors for development of a DVT does D. R. have?
What measures can be taken to prevent a DVT in an at-risk patient?

In: Nursing