I. Read Chapters 34 and 35 from your Text Book and
PP
II. NCLEX Review Question Chapters 34 and 35 from
Evolve Resources
III. Case Study: Atrial
Fibrillation
Patient Profile
E.W., a 76-year-old white man, comes to the emergency
department after a syncopal episode at a local restaurant. He is
accompanied by two friends.
Subjective Data
Has been feeling weak for a few days
Became dizzy and fainted while awaiting his
dinner
Takes one medication, a “water pill” for high blood
pressure
Objective Data
Physical
Examination
Blood pressure 92/50, pulse 125 and irregular,
respirations 24, temperature 97° F
Alert and oriented
Lung sounds clear in all fields
Diagnostic
Studies
ECG monitor shows atrial fibrillation
Discussion Questions
What is atrial fibrillation?
What are your priority actions at this time?
What additional history should you obtain from
E.W.?
Describe the risks associated with atrial
fibrillation.
W. is placed on diltiazem, warfarin, and dronedarone.
What is the purpose of each of these medications in treating E.W.’s
atrial fibrillation?
Case Study Progress
E.W. is admitted with a diagnosis of new onset of
atrial fibrillation. Despite medical therapy, 12 hours later, he is
still experiencing dizziness, and his systolic blood pressure
remains below 100. A transesophageal echocardiogram is done,
showing E.W. does not have any blood clots, so the provider elects
to perform a cardioversion.
6. What instructions should you give E.W. to prepare
for a cardioversion? What do you tell him to expect during the
procedure and what nursing assessments will you be
performing?
In: Nursing
I. Read Chapters 44 and 45 from your
Textbook
II. NCLEX REview Questions Chapters 44 and 45 from
Evolve Resources
III. Urinary Tract Infection
Lilly is a 3-year-old girl who has had abdominal pain
and fever since yesterday.
Subjective Data
Lily is complaining of lower abdominal pain.
She has had fever for 24 hours.
Lilly wet her pants, despite being recently potty
trained.
Objective Data
Vital signs: temp, 38.5º C; pulse, 114 bpm; resp, 32
breaths/min; blood pressure, 104/62 mm Hg
Urine analysis is positive for white blood cells
(WBCs), nitrites, and blood.
Questions:
What risk factors does Lilly have for a urinary tract
infection (UTI)?
What might prevent Lilly from a recurring
UTI?
What actions should the nurse take in this situation?
Prioritize the actions.
In: Nursing
20 gtt/mL, 320 drops/minute = ______mL/min
a.70
b.24
c.16
d.144
15 gtt/mL, 300 drops/minute = ______mL/min
a. 20
b. 40
c.120
d. 32
A cat with a gastrotomy tube must receive 300 kcal daily. A 15-oz can of the prescribed diet has 1500 kcal. The prescribed diet must be diluted 50:50 with water to flow through the tube, and a maximum volume of 45 ml liquid can be given at one feeding. Approximately how many feedings does this cat need daily?
a. 10
b. 8
c. 4
d. 2
A patient with an esophagostomy tube must receive 200 kcal daily. A 12-oz can of the prescribed diet has 1200 kcal. The prescribed diet must be diluted 50:50 with water to flow through the tube, and a maximum volume of 30 ml liquid can be given at one feeding. Approximately how many feedings does this patient need daily?
a. 4
b. 3
c. 2
d. 6
In: Nursing
Every manager in a healthcare organization has a direct or indirect impact on working capital in their organization. Define working capital, difference between “net working capital” and “working capital”, importance of working capital, sources of working capital and how financing temporary working capital needs is accomplished.
Recommended Reference: Perrin, R. 2012. Pocket Guide to APA Style 4th Ed. Boston, MA: Wadsworth Cengage Learning.
In: Nursing
Health Assessment of the Older Adult, what are your thoughts on this topic? What nursing interventions might be appropriate?
In: Nursing
In: Nursing
To combat teen pregnancy, some schools are going beyond sex education courses and dispensing contraception to their students. Is it ethical for junior and senior high schools to dispense contraception? Why or why not? What alternatives could schools provide rather than dispensing contraception?
In: Nursing
Discuss the types of losses in the older adult age.
Discuss the psychosocial effects of losses in the older adult.
Discuss other risks associated with of losses in the older adult.
What are the nurse’s role in assessing and monitoring the older adult?
In: Nursing
|
Analyze the use of statistics in health care. What are ways in which statistics could be incorporated into the field of nursing? Are there ways to improve processes or patient care using these techniques (related to statistics)? Give specific examples and suggestions. Add reference. |
In: Nursing
Analyze the healthcare professional’s role in advocacy, specifically as it relates to vulnerable populations.
How does the policy stakeholder (doctors) advocate for the health of vulnerable populations?
Reflect on your current role, as a Patient Care Assistant, in a health profession and how you might support the advocacy of a vulnerable population.
In: Nursing
A. Evaluate the efficacy of HIPAA in addressing population needs without negatively impacting the target population or other populations.
B. Justify key areas of improvement that could better HIPAA
C. Recommend an appropriate HIPAA improvement.
D. Advocate for or against HIPAA in a concise, supported statement.
In: Nursing
Describe the components of a case-management system used in population-based nursing.
In: Nursing
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.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?
In: Nursing
30 year old female. 135 lbs. She is single with two children. She works 5 days a week and moderately active. She is currently on the Atkins diet. She has a history of crohns disease. I need help determining if the person’s diet is deficient or in excess of carbohydrates, proteins, and fat and explain why. AND to Explain in detail how the person’s diet meets or does not meet the RDA for five or more micronutrients.
In: Nursing
In: Nursing