Questions
Acute Lymphocytic Leukemia A father brings in his 3-year-old son, James, who was initially running a...

Acute Lymphocytic Leukemia

A father brings in his 3-year-old son, James, who was initially running a fever. He was given Tylenol, and the fever went away for 2 days. Now, however, the fever is back, and he has noted dark spots on his body and a lump in his armpit. He has been lethargic and has not wanted to eat for the last 24 hours. The physician suspects acute lymphocytic leukemia and has ordered blood chemistry studies, immunophenotyping, and bone marrow aspiration and biopsy.

The father is upset and wants to know what is leukemia and how did his son catch it? How would the nurse address this question?
The nurse arranges to have laboratory tests drawn and schedules the immunophenotyping and bone marrow aspiration and biopsy. Discuss the importance of these tests.
Is there a possibility that leukemia has spread in the body?
What treatments are available for leukemia?

In: Nursing

Describe the purpose of the project management function. Discuss the relationship and necessity of this discipline...

Describe the purpose of the project management function.

Discuss the relationship and necessity of this discipline in managing healthcare IT projects.

Identify and describe the skills an effective project manager needs to be successful in this field

In: Nursing

Module 05 Assignment – Designing a Care Map Purpose of Assignment Assist students with coordination of...

Module 05 Assignment – Designing a Care Map

Purpose of Assignment

  1. Assist students with coordination of care for clients with musculoskeletal disorders.
  2. Enhance understanding of the nursing process in coordinating care for a client.

Course Competency

  • Explain components of multidimensional nursing care for clients with musculoskeletal disorders.
  • Select appropriate nursing interventions when providing multidimensional care to clients experiencing alterations in mobility

Instructions

After reviewing the medical conditions presented in the textbook, including osteoporosis, osteomyelitis, disorders of the feet, plantar fasciitis, carpal tunnel disorder, rotator cuff injury, or other musculoskeletal disorders, develop a care map using the template directly after these instructions. For this assignment, include the following: common assessment findings, a nursing diagnosis, outcomes, and nursing interventions with rationale for a client with a musculoskeletal disorder.

Use at least two scholarly sources to support your care map. Be sure to cite your sources in-text and on a reference page using APA format.

In: Nursing

A 50-year-old woman with rheumatoid arthritis (RA) presented to her nurse practitioner for a follow-up visit...

A 50-year-old woman with rheumatoid arthritis (RA) presented to her nurse practitioner for a follow-up visit at the rheumatology clinic. After being diagnosed with moderate RA 18 months earlier, the patient was started on methotrexate, a standard disease-modifying antirheumatic drug (DMARD). After more than a year of successful disease management, the patient experienced several flare-ups with swelling and pain in her hand joints, which began a few months prior to her recent clinic visit. After conducting tests that indicated high levels of inflammatory markers, the patient's rheumatologist prescribed a TNFα-inhibitor in combination with methotrexate.

In her visit with the rheumatology clinic's Registered Nurse, the patient expressed concerns about side-effects to the new therapy and overall management of her disease. BP – 118/65, P – 75, RR – 18, SPo2 – 98%, afebrile

Make a Nursing care plan with 1 diagnose and 3 goal and per goal have 9 inerventions and rationale.

In: Nursing

in healthcare we talk about data quality and integrity from two (maybe three) perspectives: clinical, administrative,...

in healthcare we talk about data quality and integrity from two (maybe three) perspectives: clinical, administrative, and research. Clinical data has the potential for disastrous effects if it is not correct. However, once it stops being clinical in nature and moves into one of the other two categories, poor data does not have the same potential deleterious effects. The use of administrative and research data is more forgiving, but it could still have negative effects. Even if entered correctly on the clinical side, the data may not be very useful ‘on the back end’. Describe how an organization could improve the quality and integrity of administrative and research data before it is ever entered at the patient encounter.

In: Nursing

Melina is a 36-year-old female with complaints of excessive fatigue, muscle aches, difficulty sleeping, weight gain,...

Melina is a 36-year-old female with complaints of excessive fatigue, muscle aches, difficulty sleeping, weight gain, and hair loss in the past six months. She recently lost her job as a clerk and is under a lot of stress. She denies taking any medication and denies any medical history. She is crying at the clinic today and tells you that she does not feel right. Her labs demonstrate that her TSH is significantly elevated at 8. How will you approach and manage her complaints? What discussion will you have with the patient regarding her therapy going forward

In: Nursing

Type II diabetes: * Risk factors and causes * Possible consequences * Prevention Strategies * Treatment...

Type II diabetes:

* Risk factors and causes

* Possible consequences

* Prevention Strategies

* Treatment Modalities

In: Nursing

Discuss the bow-tie method and then provide another specific example of an effective tool that hospitals...

Discuss the bow-tie method and then provide another specific example of an effective tool that hospitals use for risk assessment. Which one would you implement in your area and why? Must provide specific examples of each being used and results. Discuss in what areas you feel a risk management analysis could be effective and why?

In: Nursing

What are some of the reasons Medicaid managed care is more complex than developing private sector...

What are some of the reasons Medicaid managed care is more complex than developing private sector managed care programs and has led to more specialized firms dominating this market?

In: Nursing

Session 7: Video Discussion Watch Video Medical Tourism Marketing: Destination Branding Duration: 2:09 User: n/a -...

Session 7: Video Discussion

Watch Video

Medical Tourism Marketing: Destination Branding

Duration: 2:09
User: n/a - Added: 9/16/13

Discussion Question:

After watching the video, identify your reactions to the lessons you just learned. Provide a substantive response using a real world example, and relate your answer to a concept you learned from your text.

In: Nursing

Bone marrow aspiration what is Description of Procedure Indications Nursing Interventions (pre, intra, post) Interpretation of...

Bone marrow aspiration

what is Description of Procedure

Indications

Nursing Interventions (pre, intra, post)

Interpretation of Findings

Client Education

Potential Complications

Nursing Interventions

In: Nursing

Personal Protective Equipment: Four Types of isolation (Contact, Airborne, Droplet, Neutropenic)   Isolation gear required for each...

Personal Protective Equipment:

Four Types of isolation (Contact, Airborne, Droplet, Neutropenic)  

Isolation gear required for each type, Examples of illness in each type of isolation

In: Nursing

Design plans for care specific to the older adult. Consider the scenario below, then follow the...

  • Design plans for care specific to the older adult.

Consider the scenario below, then follow the instructions underneath it to complete the assignment.

Mrs. Y

Mrs. Y is an 84-year-old client who was recently discharged from the hospital for an infected diabetic ulcer on her left leg. During her hospitalization, Mrs. Y required intravenous antibiotic therapy through a peripherally inserted central catheter (PICC) line.

Due to Mrs. Y's long history of diabetes, her physician ordered that intravenous antibiotic therapy be continued at home. Subsequently, home health services were initiated, a home health nurse was assigned to Mrs. Y's case, and an initial home visit was scheduled.

The home health nurse arrives at Mrs. Y's home and introduces herself to the client and the family. The nurse explains the home nursing services that will be provided, including the PICC line and intravenous antibiotic therapy treatments.

During the initial home visit, the nurse assessed the physiological, psychological, functional, and safety needs of the client. The nurse's findings were as follows:

  • Mrs. Y lives alone; however, her daughter checks on her frequently throughout the day.
  • The client is noted to have moderate functional issues and ambulates with a cane.
  • The client has several throw rugs in the main walking quarters and minimal lighting throughout the hallways.
  • Mrs. Y states "I used to get around my house with ease, but now I get a little tired and have to sit down and rest frequently."

Consider Mrs. Y's current health status and functional decline, then address the following:

  1. Download the Concept Map and Plan of Care worksheet below. An example is also provided for your reference.
    • File: Concept Map and Plan of Care worksheet
    • File: Concept Map and Plan of Care example
  2. Identify three (3) priority nursing diagnoses for Mrs. Y. Consider using the resource below to assist you.
    • eBook: Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care - Chapter 5 Nursing Diagnoses in Alphabetical Order
  3. Create a visual representation of the three (3) priority nursing diagnoses by incorporating them into the Concept Map (template in the worksheet). Be sure each nursing diagnosis includes the following elements:
    1. "related to (r/t)" -- description of the client's problem
    2. "as evidenced by" -- description of the client's symptoms
  4. Complete the Nursing Plan of Care (table in the worksheet) describing what should be implemented for Mrs. Y.
    1. Goals: Establish at least one (1) goal for each of the nursing diagnoses you identified (for a total of 3 goals). Goals should be: patient specific, measurable, actionable, realistic, and time limited.
    2. Nursing Interventions: Describe at least three (3) nursing interventions for each of the goals (for a total of 9 nursing interventions). Each intervention should be in alignment with the goal it is supporting.

In: Nursing

Effects of Ageism Due to the increasing percentage of older adult clients in the U.S., it...

Effects of Ageism

Due to the increasing percentage of older adult clients in the U.S., it is imperative that healthcare providers assess and confront their own attitudes and perceptions toward older adults.

In your initial post, address the following:

  1. Describe ageism and its impact on societal views of older adult clients.
  2. Explain how ageism can influence the healthcare provisions of older adult clients.
  3. As a healthcare provider, how can one best assess and confront attitudes, perceptions, behaviors, and biases toward older adults?

In: Nursing

Personal Protective Equipment: Four Types of isolation (Contact, Airborne, Droplet, Neutropenic) What Isolation gear is required...

Personal Protective Equipment: Four Types of isolation (Contact, Airborne, Droplet, Neutropenic) What Isolation gear is required for each type and give Examples of illness in each type of isolation

In: Nursing