Activities Required Prior to Simulation: Pre-Simulation Questions 1. Discuss conditions that predispose patients to rhabdomyolysis. 2. What are the clinical findings and signs and symptoms of rhabdomyolysis? 3. What are the nursing responsibilities related to the care of the patient with rhabdomyolysis?

E .coli include recent outbreaks

who it affected ,what caused it, pathophysiology  and pediatric treatment and nursing intervention

States pain in her left calf area is a 3 on a 1-to-10 scale

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

Bisacodyl 10 mg PO daily

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?

Nursing actions when patient can no longer make decisions about his/her own care

Create a 15 slide PowerPoint presentation of the pediatric condition you selected. Ensure that your presentation addresses: Developmental dysplasia of the hip

1. Description and etiology  of the condition
2. Epidemiology for the condition
3. Pathophysiology
4. Clinical Manifestation
5. Diagnostic evaluation
6. Therapeutic Management: Be sure to address medication as well as surgical and non-surgical management if applicable
7. Care Management to include nursing intervention

The presentation should have a title slide and a reference slide. They are not included in the slide count.

Samuel is an 82-year-old male brought in by his daughter for complaints of low blood sugar. Samuel has a history of type II diabetes well-controlled with glyburide and diet. He was treated last week at an urgent care for a suspected staph infection to his arm with sulfamethoxazole and trimethoprim. He also takes lisinopril, Lipitor, Flomax, Paxil, Coenzyme Q10, and a multivitamin. His daughter also found old prescriptions for alprazolam, atenolol, and terazosin in his medicine cabinet. With what you know about drug-drug interaction in older adults, what could be the cause of his hypoglycemia? What questions do you need to ask the patient and his daughter about safe medication management? What education should be offered to this patient and his family?

1. Explain the pathophysiology of shortness of breath without lung disease in a patient with anemia.

2. What is the pathophysiology of low blood pressure (hypotension) in a patient with severe anemia?

3. What is the difference between acute lymphocytic leukemia (ALL) and acute myeloid leukemia (AML)?

4. What findings in your hematologic assessment you will suspect anemia in an older adult?

P.S: If you can answer all, please do. thank you.

Give an account on your knowledge about physical activity. list and describe four risks factors that can be caused by physical inactivity life style.

Educational practices that learners learn through practical means. Discuss any two musical activities and indicate how you would effectively utilize these activities in a basic five class.

Case Study #9 – Obesity and Eating Disorders

CC: “I hate being fat.” Client history: CC is a 43-year-old mother of three who has experienced gradual weight gain after the birth of each of her children. She is 5 ft 7 in tall, weighs 189 pounds, works full time, and does not engage in regular exercise. She is considered pre- diabetic and has prehypertension and appears eager to make lifestyle changes to improve her health and be a better nutritional role model for her children. She has successfully lost weight in the past through Weight Watchers but eventually got bored and regained all of the weight she lost. She does not want to count calories. She wants to know how many servings from each food group she should eat to lose weight and what the best foods from each group are. Her usual intake is as follows: no breakfast; snacks at a vending machine twice a day; fast food for lunch; and dinner with the family. Her dinner usually consists of about 6 oz of meat, potatoes, sometimes a vegetable, bread with butter, and dessert. CC admits to a weakness for “sweets.”

■ What is CC’s weight status based on her BMI?

■ What additional information about her eating behaviors would be helpful?

■ What MyPlate calorie level would you recommend for her?

■ What food groups does she need to consume more of? Less of? What would you tell her about the “best” foods from each group?

■ Create a nursing care plan complete with nursing diagnosis, client goal, interventions, and monitoring recommendations.

■ Devise a meal pattern with the calorie allowance you recommend; include three meals per day and two snacks. Prepare a sample menu.

■ What behavioral strategies would you recommend for her?

Amanda J. is a forensic nurse who has been trained as a sexual assault nurse examiner (SANE). Amanda works part-time in the emergency room, where she occasionally examines victims of rape and sexual assault. Amanda also works part-time as a consultant for a local domestic-violence shelter for women and children. Every year Nurse Amanda helps to organize a Walk to Prevent Domestic Violence in her community. Proceeds raised from the walk go toward the domestic-violence shelter. Nurse Amanda provides literature about domestic violence at the walk as well as at other organizations in town.

Questions

1. What are the most common types of trace evidence of victims of violence, including those who are raped?

2. The concepts in forensic nursing theory include, but are not confined to, safety, injury, presence, perceptivity, victimization, and justice. How might Nurse Amanda address these concepts in her nursing practice?