Questions
1. What is the difference between left- and right-sided heart failure? 2. Why are phosphodiesterase inhibitors...

1. What is the difference between left- and right-sided heart failure?

2. Why are phosphodiesterase inhibitors high-alert medications?

3. Why are not all beta blockers indicated in the treatment of heart failure?

4. Are there are any laboratory values specifically related to ACE inhibitor administration that need to be monitored for safe drug administration?

5. Order: cefuroxime axetil (Ceftin) 200 mg, PO, b.i.d.

Available: Ceftin 250 mg/5 mL

How many mL will the patient receive per dose?

In: Nursing

M.P. is a 45-year-old woman who presents to the family practice for a yearly check-up. Subjective...

M.P. is a 45-year-old woman who presents to the family practice for a yearly check-up.

Subjective Data

Married

Exercises daily

Nonsmoker, never smoked

A registered nurse in hospital setting

Has two children who live at home

No complaints at this time

Objective Data

Vital signs: T 98.7 BP 108/62 HR 62 Resp 14 Height: 5 feet, 7 inches

Weight: 160 pounds

Immunizations: All immunizations are up to date

Medications: No medications, multivitamin daily Allergy to

PCN = Hives

Questions: How should the nurse proceed with the physical exam?

What interventions can help make the patient more comfortable during the physical examination?

What pointers or tips can the experienced nurse give to a new nurse who wants to improve his or her technique?

What are the components of the general survey? How should the nurse perform the patient’s Head to Toe assessment?

In: Nursing

describe a client who initially presented as if she or he had a mental disorder but...

describe a client who initially presented as if she or he had a mental disorder but the final diagnosis was an organic or physical disorder.

In: Nursing

Course: FAMILY RESOURCE MANAGEMENT Discuss the resources available to a family, with practical examples to support...

Course: FAMILY RESOURCE MANAGEMENT

Discuss the resources available to a family, with practical examples to support each argument. Discuss how the principles of resource allocation influence how these resources are allocated in the family..

*NB: Not more than 6 pages*

In: Nursing

scenario 3 Sandy is 32 years old single mother of two young children living in high-rise...

scenario 3
Sandy is 32 years old single mother of two young children living in high-rise inner city accommodation.sandy has recently lost her job as a waitress and his on the Verge of being homeless because she can no longer afford to pay rent.
1.outline the aspect of inequality in society and identify the possible effects and consequences relating to sandy and her family
2. Give an example of government policy that was developed to support families such as sandy and her children
3.what work might be undertaken to support sandy and her family and what services might be provided
4. How could staff monitor and review the impact of the service provided to sandy?
5.if the services are not culturally or socially effective or appropriate, what action might Sandy's case manager take?

In: Nursing

Description: Review the case study and discuss the incorrect behaviors that occurred the during the study....

Description: Review the case study and discuss the incorrect behaviors that occurred the during the study.

Objectives:

  • Understanding the use of safety and infection control procedures to keep staff and patient's safe.

Instructions:

Respond to the following:

Patient John Smith had a COVID test a week prior to his test. It returned negative. He walked in for his study late. He says he is not feeling like himself. He tired and he has chills. You note his gait is unsteady. You notice that he smells of alcohol. The patient was assigned to a room while the technician is working with their other patient.  

The patient became agitated and started complaining about his wait.  

How should this patient be handled? What should you do and is there anyone you should contact?

In: Nursing

C.S. is a 78 year old PT admitted to the nursing home unit with a diagnosis...

C.S. is a 78 year old PT admitted to the nursing home unit with a diagnosis of dehydration. C.S. has been ordered to increase their PO intake to 2500cc/day. When offering her a glass of water she pushes away your hand and says, “I hate water and don’t drink it much.” You note that after one and a half days she has dry mucous membrane and poor skin turgor.

1.What could be the problem?

2.What should you assess?

3.What should you do?

4.Write a care plan.

Thank you in advance

In: Nursing

1 Describe how the health insurance market has been inefficient, historically how they can be efficient...

1 Describe how the health insurance market has been inefficient, historically how they can be efficient when coverage is lacking.

2 Include information on alternative measures of equity, How will health care reform address these inefficiencies?

3 Take on the extra-welfarist approach and comment on the information from that perspective.

In: Nursing

Why are SSRIs preferred to benzodiazepines for the treatment of anxiety? How does Zolpidem work to...

Why are SSRIs preferred to benzodiazepines for the treatment of anxiety?

How does Zolpidem work to induce sleep? Should this medication be used long term?

Is melatonin safe to use long term for sleep? How does it induce sleep? How long does it take to take effect?

What is the mechanism of action of the two major groups of antipsychotic drugs?

What are extrapyramidal symptoms (EPS)? How are these treated?

What is neuroleptic malignant syndrome? How is this treated?

Name three teaching points for the patient starting fluoxetine.

What are the clinical manifestations of tricyclic antidepressent overdose (toxicity)? How is this managed?

Are the dietary and medication interactions with MAOIs? Why are these restricted?

What are the adverse effects of lithium used to treat bipolar disorder at normal and excessive levels?

What teaching points would you use to help the patient stay within normal lithium levels?

Name the three classes of drugs used to treat bipolar ?.

What aspect of the disease do these drugs each treat?

In: Nursing

Using the case study below, prepare a 3-5 page paper. A 21-year old female (A.M) presents...

Using the case study below, prepare a 3-5 page paper.

A 21-year old female (A.M) presents to the urgent care clinic with symptoms of nausea, vomiting, diarrhea, and a fever for 3 days. She states that she has Type I diabetes and has not been managing her blood sugars since she’s been ill and unable to keep any food down. She’s only tolerated sips of water and juices. Since she’s also been unable to eat, she hasn’t taken any insulin as directed. While helping A.M. from the lobby to the examining room you note that she’s unsteady, note that her skin in warm and flushed and that she’s drowsy. You also note that she’s breathing rapidly and smell a slight sweet/fruity odor. A.M. has a challenge answering questions but keeps asking for water to drink.

You get more information from A.M. and learn

  • She had some readings on her glucometer which were reading ‘high’
  • She vomits almost every time she takes in fluid
  • She hasn’t voided for a day but voided a great deal the day before
  • She’s been sleeping long hours and finally woke up this morning and decided to seek care

Current labs and vital signs:

  1. What is the pathophysiology for the condition you believe A.M. has?
  2. Relate the etiology and clinical manifestations for the condition you identified for A.M.

The practitioner at the urgent care facility makes the decision that A.M. needs to go to the hospital by ambulance. Once at the Emergency Department (ED), the ED physician orders these items:

  1. 1000 ml Lactated Ringer’s (LR) IV stat
  2. 36 units NPH (Humulin N) and 20 units regular (Humulin R) insulin SQ now
  3. CBC with differential; CMP: blood cultures X2 sites; clean-catch urine for UA and C&S; stool for ova and parasites; Clostridium difficile toxin, and C&S; serum lactate; ketone; osmolality; ABGs on room air
  4. 1800 calorie, carbohydrate controlled diet
  5. Bed rest
  6. Acetaminophen (Tylenol) 650 mg orally Q4 hrs PRN
  7. Furosemide (Lasix) 60 mg IV push now
  8. Urinary output every hour
  9. VS every shift

The orders above -- which are questionable related to her condition and which are appropriate?

  1. What are the expected treatments for this condition?

Instructions:

formulate what may be happening with A.M. and how you would improve her condition. I need 3 pages please don't just answer the questions it's a paper . 3 pages no less please , if you can't do it please don't do it . like I said don't just answer the questions one by one but just add them all together it is a research paper . NOTHING IS MISSING. i need a full 3 pages please

In: Nursing

Using the case study below, prepare a 3-5 page paper. A 21-year old female (A.M) presents...

Using the case study below, prepare a 3-5 page paper.

A 21-year old female (A.M) presents to the urgent care clinic with symptoms of nausea, vomiting, diarrhea, and a fever for 3 days. She states that she has Type I diabetes and has not been managing her blood sugars since she’s been ill and unable to keep any food down. She’s only tolerated sips of water and juices. Since she’s also been unable to eat, she hasn’t taken any insulin as directed. While helping A.M. from the lobby to the examining room you note that she’s unsteady, note that her skin in warm and flushed and that she’s drowsy. You also note that she’s breathing rapidly and smell a slight sweet/fruity odor. A.M. has a challenge answering questions but keeps asking for water to drink.

You get more information from A.M. and learn

  • She had some readings on her glucometer which were reading ‘high’
  • She vomits almost every time she takes in fluid
  • She hasn’t voided for a day but voided a great deal the day before
  • She’s been sleeping long hours and finally woke up this morning and decided to seek care

Current labs and vital signs:

  1. What is the pathophysiology for the condition you believe A.M. has?
  2. Relate the etiology and clinical manifestations for the condition you identified for A.M.

The practitioner at the urgent care facility makes the decision that A.M. needs to go to the hospital by ambulance. Once at the Emergency Department (ED), the ED physician orders these items:

  1. 1000 ml Lactated Ringer’s (LR) IV stat
  2. 36 units NPH (Humulin N) and 20 units regular (Humulin R) insulin SQ now
  3. CBC with differential; CMP: blood cultures X2 sites; clean-catch urine for UA and C&S; stool for ova and parasites; Clostridium difficile toxin, and C&S; serum lactate; ketone; osmolality; ABGs on room air
  4. 1800 calorie, carbohydrate controlled diet
  5. Bed rest
  6. Acetaminophen (Tylenol) 650 mg orally Q4 hrs PRN
  7. Furosemide (Lasix) 60 mg IV push now
  8. Urinary output every hour
  9. VS every shift

The orders above -- which are questionable related to her condition and which are appropriate?

  1. What are the expected treatments for this condition?

Instructions:

formulate what may be happening with A.M. and how you would improve her condition. I need 3 pages please don't just answer the questions it's a paper . 3 pages no less please , if you can't do it please don't do it . like I said don't just answer the questions one by one but just add them all together it is a research paper . NOTHING IS MISSING. i need a full 3 pages please. also i need new answers

In: Nursing

The registered nurse at the local middle school is responsible for health promotion and disease prevention...

The registered nurse at the local middle school is responsible for health promotion and disease prevention of the seventh and eighth grade students. The nurse provides screenings and illness care as well as assurance that immunizations are up to date with documentation on file. Nurses who work with the school population are aware of their significant influence on the students and the importance of teaching ways to develop and maintain good health habits at a young age. Nurses hope the students will carry the information home and have an influence on the health of the families as well.

1. The mother of a 13-year-old boy approaches the school nurse because she is concerned about her son’s weight. She states that she approached his pediatrician about the issue and felt dismissed. The nurse assesses the height and weight of the boy and determines that he is above the 95th percentile for his age. What are the next steps for the school nurse?

a. Educate about a healthy diet but tell the mother that her son is too young to be concerned about his weight.

b. Place the student on a diet and exercise plan with a goal of losing 2 to 3 lb per week.

c. Educate about a healthy diet and physical activity and instruct the mother that her son should maintain his current weight while he continues to increase his height.

d. Inform the mother that she should have been more concerned before her son reached puberty.

2. The school nurse provides education to the students about injury prevention measures. What educational topic is shared with the middle school age?

a. Bicycle safety

b. Poisoning prevention

c. Violence

d. Motor vehicle safety

3. A student presents to the nurses’ office with a severe allergic reaction to a bee sting. What is the primary role of the nurse in delivering emergent care to the child?

a. Call the parents to obtain phone consent for treatment.

b. Provide emergency care and then inform the parents.

c. Call the child’s primary care physician to obtain orders.

d. Send the student to the nearest emergency department.

4. A parent who fails to ensure that their child attends school is exhibiting

a. acts of commission.

b. psychological abuse.

c. acts of demission.

d. acts of omission.

In: Nursing

Select one of the Healthy People 2020 objectives and identify how biological risk (including age-related risk),...

Select one of the Healthy People 2020 objectives and identify how biological risk (including age-related risk), environmental risk (including economic risk), and behavioral risk contribute to family health risks for that objective. Give examples.

2. Identify three public health problems in your community and discuss the implications of these problems for the health of families. How did you arrive at your conclusions?

In: Nursing

Identify and describe the various social and cultural factors of diversity that affect an individual’s institutional...

  • Identify and describe the various social and cultural factors of diversity that affect an individual’s institutional prejudice and discrimination.
  • Define cultural competence and evaluate the importance to administering quality human and social service care.
  • Identify areas of potential conflict between human and social service providers and a patient's cultural beliefs and values.
  • Assess the role of one's own personal social and cultural identity in relation to others of similar and different backgrounds in the delivery of human services.

In: Nursing

A client presents to the Emergency Department reporting a “deep and piercing pain in the mid-epigastric...

A client presents to the Emergency Department reporting a “deep and piercing pain in the mid-epigastric region for the last little over a week, with pain getting progressively worse over the last few days.” The initial assessment include findings of irritability, twitching, and numbness and tingling around the lips. Bowel sounds are absent, with the client reporting pain of 7/10. Per the client, “I start feeling bad after I eat.”

Vital signs are T 100, HR 115, BP 100/57 mm/Hg, RR 26, weight is 131 kilograms. (20 points each)

  • Describe the possible clinical reasons for the findings, and include the possible medication that may be ordered and why.
  • Discuss the interventions the nurse can implement to help keep the client comfortable, in addition to pain medication, with rationale.
  • Identify several possible reasons for absent bowel sounds in this client and the expected orders with rationale.
  • “My stomach pain went away. I am ready to eat.” Describe the type of diet the client would receive and why.

In: Nursing