Questions
ABOUT CHILD AND ADOLESCENT HEALTH Glenda R. is a parish nurse for Holy Cross Catholic Church....

ABOUT CHILD AND ADOLESCENT HEALTH

Glenda R. is a parish nurse for Holy Cross Catholic Church. The church’s youth group teacher has overheard several of the 13- and 14-year-old teenagers talking about dating and sexual behaviors. The youth group teacher invites the parish nurse to speak to the group about sex and abstinence. Nurse Glenda sends letters to the parents describing when she will speak to the group about these topics and what will be discussed. Parents who would like their child to attend this class are asked to fill out the permission form.

On the night of the class, 18 of the 20 youth group members arrive for the class with their consent forms in hand. The room is set up with chairs in a circle and a computer with projector next to Nurse Glenda’s chair. Using pictures on the computer, Nurse Glenda illustrates the basic anatomy of the reproductive system and discusses what should be expected during puberty. Most of the class time is then spent discussing reasons for abstinence, how to know when you are ready for sex, and how to say no if you are not.

Questions

1. 1. Which teaching intervention designed to gather questions and feedback about the lesson would be most effective for this age group?

A. A confidential question box passed around for students to submit any questions they have about sex. Each student is asked to write something on a piece of paper, even if it is not a question or a comment, and to place it inside the box. Nurse Glenda reviews the papers and answers questions at the end of the class.

B. An open forum where students raise their hands and ask questions. Nurse Glenda responds appropriately.

C. A survey completed at the end of the class that students give to Nurse Glenda as they leave.

2. After the class has been given, Nurse Glenda talks to the parents and the church’s religious education teacher. Nurse Glenda believes that she can do more with this age group and would like to offer her services to them. She suggests that an evening of preventive screenings should be offered. What should Nurse Glenda screen for in this group of teenagers?

3. How can Nurse Glenda use interactive health communication (IHC) to reinforce the lesson?

In: Nursing

Explain how policies and procedures are developed for a health and community service by using international,...

Explain how policies and procedures are developed for a health and community service by using international, national, state/territory and local government frameworks. Your answer must be between 100 to 200 words in length.

In: Nursing

1)A 75-year-old female in congestive heart failure (CHF) is unable to climb a flight of stairs...

1)A 75-year-old female in congestive heart failure (CHF) is unable to climb a flight of stairs without experiencing shortness of breath. Digoxin is administered to improve cardiac muscle contractility. Within two weeks, she has a marked improvement in her symptoms. What cellular action of digoxin accounts for this?
a) Inhibition of cAMP synthesis
b) Inhibition of Ca- release
c) Inhibition of the Na+/K+ ATPase pump​
d) Inhibition of β adrenergic stimulation
e) Inhibition of ATP degradation

2) A 65-year-old female receives digoxin and furosemide for CHF. After several months, she develops nausea and vomiting. Serum K4 is 2.5 mEq/L. Electrocardiogram (EKG) reveals an AV conduction defect. What cellular effect is causing these new findings?
a. Increased intracellular K+
b. increased intracellular cGMP
c. Increased intracellular Ca2+​
d. Increased intracellular norepinephrine
e. Increased intracellular nitric oxide (NO)

3)A 59-year-old female with mild CHF is treated with furosemide. What is its primary mechanism of action?
a. Inhibition of Na+,1c ATPase​
b. Inhibition of Nat, K+, CF co-transporter
c. Inhibition of Na+,C1 co-transporter​
d. Inhibition of Cl— transporter
e. Inhibition of Ca2+ transporter

4)Compensatory increases in heart rate and renin release that occur in heart failure may be alleviated by which of the following drugs?
a. Milrinone
b. Digoxin
c. Dobutamine
d. Enalapril
e. Metoprolol

5 )A 58-year-old man is admitted to the hospital with acute heart failure and pulmonary edema. Which one of the following drugs would be most useful in treating the pulmonary edema?
a. Digoxin
b. Dobutamine
c. Furosemide
d. Minoxidil
e. Spironolactone

In: Nursing

Aside from the school laboratory facilities, How can we apply Aseptic Techniques in the following places...

Aside from the school laboratory facilities, How can we apply Aseptic Techniques in the following places as we are experiencing Pandemic?

A. Home

B. Office/Classroom

C. Kitchen

In: Nursing

You are a Coronavirus-prevention consultant analyzing the football stadium. You are reviewing past aerial footage of...

You are a Coronavirus-prevention consultant analyzing the football stadium. You are reviewing past aerial footage of a crowd rushing from the stadium onto a field after a game. You can think of the seating area as a container and the field as another container, with a boundary between. (A) If you think of this as a diffusion problem (two dimensional), how would you calculate the flux in the system? (B) Would you use Fick’s first law or Fick’s second law to describe the mass transport? Explain your reasoning. (C) If all of the people end up on the field at long times, would it be accurate to model this crowd movement as diffusion? Explain your reasoning.

In: Nursing

develop a teaching plan for an 18 years old patient whose BMI is 30 about healthy...

develop a teaching plan for an 18 years old patient whose BMI is 30 about healthy diet that must be included in his daily base.

your report must be hand writing and pickup a picture and attach it here.

In: Nursing

ABOUT CHILD AND ADOLESCENT HEALTH Glenda R. is a parish nurse for Holy Cross Catholic Church....

ABOUT CHILD AND ADOLESCENT HEALTH

Glenda R. is a parish nurse for Holy Cross Catholic Church. The church’s youth group teacher has overheard several of the 13- and 14-year-old teenagers talking about dating and sexual behaviors. The youth group teacher invites the parish nurse to speak to the group about sex and abstinence. Nurse Glenda sends letters to the parents describing when she will speak to the group about these topics and what will be discussed. Parents who would like their child to attend this class are asked to fill out the permission form.

On the night of the class, 18 of the 20 youth group members arrive for the class with their consent forms in hand. The room is set up with chairs in a circle and a computer with projector next to Nurse Glenda’s chair. Using pictures on the computer, Nurse Glenda illustrates the basic anatomy of the reproductive system and discusses what should be expected during puberty. Most of the class time is then spent discussing reasons for abstinence, how to know when you are ready for sex, and how to say no if you are not.

Questions

1. 1. Which teaching intervention designed to gather questions and feedback about the lesson would be most effective for this age group?

A. A confidential question box passed around for students to submit any questions they have about sex. Each student is asked to write something on a piece of paper, even if it is not a question or a comment, and to place it inside the box. Nurse Glenda reviews the papers and answers questions at the end of the class.

B. An open forum where students raise their hands and ask questions. Nurse Glenda responds appropriately.

C. A survey completed at the end of the class that students give to Nurse Glenda as they leave.

2. After the class has been given, Nurse Glenda talks to the parents and the church’s religious education teacher. Nurse Glenda believes that she can do more with this age group and would like to offer her services to them. She suggests that an evening of preventive screenings should be offered. What should Nurse Glenda screen for in this group of teenagers?

3. How can Nurse Glenda use interactive health communication (IHC) to reinforce the lesson?

In: Nursing

A female client, diagnosed with Bipolar I, recently stopped taking her lithium. She has not slept,...

A female client, diagnosed with Bipolar I, recently stopped taking her lithium. She has not slept, eaten or bathed in days. She is dressing in brightly-colored, flamboyant, and sexually suggestive clothing. She has been spending money freely and buying things she does not need and cannot afford. She recently purchased a trip to Tahiti as well as a motorcycle that she does not know how to ride. The client has even gambled away the family savings. Her husband calls her psychiatrist and tells him his wife has stopped taking her lithium and has not slept or ate in a couple of days. The psychiatrist suggests that the husband bring his wife to the emergency room for admission to the psychiatric unit.

Upon admission, the nurse observes that the client is dressed in a red mini skirt with a blue and orange flowered top. She is wearing bright red lipstick, false eyelashes, and bright blue eye shadow. While attempting to take a history, the client jumps from one subject to another. She talks loudly and rapidly and uses elaborate hand gestures. She cannot sit still and continually paces around the room. The client repeatedly says, “I feel good. I feel good like I know I should. I feel good!!!” The client’s husband informs the nurse that his wife has stopped taking her lithium and has not eaten, slept, or showered in days. He goes on to explain that his wife has maxed out the credit cards and has put the family in debt.

The client’s past psychiatric history includes 4 episodes of acute mania within the year. She has no known allergies. No other medical conditions noted. The psychiatrist orders a serum lithium level. The lithium level comes back at 0.8 mEq/L. In addition, electroconvulsive therapy (ECT) is scheduled for the next day.

Questions:

What is Bipolar I disorder? How does it differ from Bipolar II?

What behaviors are exhibited during a manic episode?

What nursing intervention should be implemented when a client is in the manic phase?

Why was a serum lithium level drawn? What is the therapeutic (maintenance) range for lithium? What serum level is considered toxicity?

What teaching needs to be reinforced with lithium therapy?

What are some potential nursing diagnoses for this client?

What is electroconvulsive therapy (ECT)? When is ECT indicated?

What preparation is needed prior to ECT?

What are some complications of ECT?

In: Nursing

The nurse is caring for a client who has been admitted to the emergency room with...

The nurse is caring for a client who has been admitted to the emergency room with generalized weakness, particularly on her left side, with a left-sided facial droop, aphasia, numbness, and tingling in her left arm which started two days ago. Pupils are minimally reactive and constricted bilaterally. She does not follow commands. Lower extremities have + 1 pitting edema bilaterally. The client is transferred to the neuro floor but will be discharged home with her son.

  • Using the Situation Background Assessment Recommendation (SBAR) format, provide a hand-off report to the neuro floor RN
  • Identify/describe 3 examples of Indirect and Direct Care for this patient
  • Identify and prioritize 4 area's of safety/risk issues for this client
  • Provide the top 2 nursing priorities for this client in anticipation for discharge planning

Include any discharge teaching

In: Nursing

Mrs. Lu, an 83 year old patient, has been admitted to the hospital for a fractured...

Mrs. Lu, an 83 year old patient, has been admitted to the hospital for a fractured femur as a result of a fall at home. The patient has been on bedrest and is very weak. She states, "I got dizzy when I tried to stand up to go to the bathroom and I fell down and was really scared. I thought I was going to die". The patient also presents with dehydration a fever of 100.2 and respiration's of 30.

  • Identify 2 patient goals with expected outcomes for Mrs. Lu while she is in the hospital
  • Identify Objective and Subjective Data in the above scenario
  • Identify and describe 4 systemic effects associated with Mrs. Lu's immobility.
  • The client will be discharged with a walker. Describe the education the nurse provide for the client for proper use and ambulation, including walking and going up and down stairs.

In: Nursing

Elderly drivers and their health are a huge controversial topic amongst the aging population.   Provide 3...

Elderly drivers and their health are a huge controversial topic amongst the aging population.  

Provide 3 examples of how and why elderly drivers is a huge controversy. Explain fully on the three examples. Number the examples and explain as described below.

  1. Tell what you feel the problems are with the elderly drivers.
  2. Explain how and why they may be considered to be a hazard
  3. Do they have disabilities or limitations?
  4. How can they face mortality or cause harm to others?
  5. How can these situations be resolved?

In: Nursing

what is the most important step in hypothesis testing and why

what is the most important step in hypothesis testing and why


In: Nursing

Identify the common reasons employees voluntarily leave organizations. How does high turnover rate affect on organizations...

  1. Identify the common reasons employees voluntarily leave organizations.

  2. How does high turnover rate affect on organizations performance?

  3. Define the various organizational retention determinants.

In: Nursing

Elderly drivers and their health are a huge controversial topic amongst the aging population.   Provide 3...

Elderly drivers and their health are a huge controversial topic amongst the aging population.  

Provide 3 examples of how and why elderly drivers is a huge controversy. Explain fully on the three examples. Number the examples and explain as described below.

  1. Tell what you feel the problems are with the elderly drivers.
  2. Explain how and why they may be considered to be a hazard
  3. Do they have disabilities or limitations?
  4. How can they face mortality or cause harm to others?
  5. How can these situations be resolved?

In: Nursing

Environmental health consists of preventing or controlling disease, injury, and disability related to the interactions between...

Environmental health consists of preventing or controlling disease, injury, and disability related to the interactions between people and their environment. How does this affect the quality of public health? Please explain how ones natural environment of exposure to toxic substances and other physical hazards can be harmful to public health/ safety?

In: Nursing