1. You are caring for a 78-year-old patient after the creation of an ileal conduit. What is the best description of the ileal conduit?

• Describe the complications that may follow the placement of an ileal conduit.
• What assessments do you commonly perform in the immediate post-operative period?

1. Enumerate the Risk Factors for Cervical Cancers.
2. A 55-year-old patient has been diagnosed with cervical cancer. She reports that she has a strong family history of cancer; two sisters have breast cancer. Her mother died of cancer when the patient was a child, and she is not certain of the type of cancer. Because of her strong family history, she is concerned about the health status of her twin daughters who are in their early 30s. She has asked you to discuss the risks for cancer with them.

• Explain what counseling and education you will provide to the patient and her daughters.
• Identify the evidence base for the counseling and education and the strength of that evidence.
• How will you approach your counseling and education?

Euthanasia is acceptable or not ?   

medical management of HIV?

A nurse needs to be aware of "difficulties" in establishing a therapeutic relationship and be able to take corrective action. What resources can assist with this process? (250 word minimum)

Mrs. Duarte is a 40-year-old female who has scheduled an appointment with her PCP to assess a lump that has developed on the left side of her neck.

Mrs. Duarte explains to her PCP that she has noticed a swollen area on the left side of her neck that has been increasing in size. She states, “I am really afraid I have cancer. I eat plenty of food, but seem to be losing weight. I have lost 10 lbs in less than 2 months. I have been very agitated and irritable. Perhaps I am nervous about the possibility that this lump is cancer.” Her VS include BP 142/64, HR 128, RR 24, and temperature 98.8 degrees F. The PCP notes that Mrs. Duarte’s hands have a fine tremor, and she has mild periorbital edema indicative of exophthalmos. On physical assessment, the PCP palpates a smooth, soft, enlarged left lobe of the thyroid gland. The PCP places the bell of the stethoscope over the swollen area and auscultates a bruit. Further discussion reveals that Mrs. Duarte has been having difficulty sleeping, thinning hair, and loose bowel movements. Concerned about a thyroid disorder, the PCP prescribes serum laboratory testing to assess the client’s level of TSH, T3 & T4, and schedules the client for a radioactive iodine uptake test.

1. Does the PCP suspect that Mrs. Duarte has hypo or hyperthyroidism? Identify the clinical manifestations that support your answer.

2. Identify 3 nursing diagnoses appropriate for Mrs. Duarte. Indicate which of the 3 diagnoses would be the priority nursing diagnosis and provide your rationale – include nursing diagnosis, related to (r/t), and as evidenced by (AEB) statements.

3. What do you suspect Mrs. Duarte’s findings will reveal for her lab and diagnostic tests – indicate increase, decrease, or results for TSH, T3, T4, and radioactive iodine uptake test.

4. Mrs. Duarte develops hypothyroidism following her radioactive iodine therapy. Her PCP prescribes levothyroxine. She asks the nurse, “What is this medication for and how long will I need to take it?” Provide the patient with teaching regarding the rationale for the prescribed medication & respond to her question regarding the length of treatment needed. Also, include 3 other teaching points you would want to educate the patient on regarding this medication.

Ethical Dilemma Assigned Scenario: You observe a homeless man limping into the emergency room and the nurse in charge ignores him.

1) Identification of interprofessional collaboration that is needed to care for a patient in this situation.

Which professionals will be part of your interprofessional team?

What are their roles and why are they important?

One of each nursing exemplars, please, thank you!

1. Implements principles of safety in the administrations of medication/parenteral fluid therapy.(Provide a specific example of how you maintained safety in medication administration (in addition to and including the 6 rights). Provide a specific example of how you maintained safety in parenteral fluid therapy administration (in addition to and including the 6 rights))

2. Demonstrates organizational and time management skills. (How do you organize your care? Give an example of how you managed time in providing patient care. This objective should be addressed in an area in which YOU, the student, are working somewhat independently (such as a med-surg unit). ONLY 1 exemplar required).

3. Identify cultural variances related to communication, space, social organization time, environmental control and biological variations for select clients. (What did your assessment reveal?)

4. Implement individualized nursing interventions to preserve the client’s unique cultural beliefs and culturally influenced ways of life. (What nursing interventions did you implement? How did these interventions preserve and demonstrate value to the client’s culture/beliefs/way of life?)

5. Identify cultural variances related to communication, space, social organization time, environmental control and biological variations for select clients. (What did your assessment reveal?)

you are the medical assistant working in a pediatric clinic today you have a patient who has been diagnosed with strep throat this little one will be prescribed antibiotics to be taken over the next ten days how would this drug be classified and what information regarding the drug would you want to give to the patient's parent

What student nurses think about their experiences at the emergency department?

How professionally or personally student nurses learn and grow to become a "good nurse" with their experiences at the emergency department?

Case Study 1

Ella is an 18-month-old female who is scheduled for a bilateral myringotomy with PE tube placement for recurrent otitis media. She is in general good health and shows no signs of current illness or infection. Her preoperative vital signs were within normal range. She was given liquid midazolam preoperatively and arrives to the OR awake and alert but calm. The anesthesiologist plans to do masked ventilation for the procedure since it is of short duration.

Case Study 2

Ameera is a 28-year-old female who is scheduled for a cystoscopy with a ureteral stent exchange. She has a history of kidney stones. She is scheduled to have MAC anesthesia (local with sedation). She is in general good health and has no signs of current illness or infection. She is nervous about the procedure and concerned that she will experience pain.

Case Study 3

Icharo is a 45-year-old male who is scheduled for a left shoulder arthroscopy with a rotator cuff repair under a general anesthetic. He is in general good health but has a history of asthma.

Case Study 4

William is a 67-year-old male who is scheduled for an open coronary artery bypass graft. He has a history of hypertension, coronary artery disease, COPD, prostate cancer (treated 3 years ago by open prostatectomy, subsequent PSA is zero) and non-insulin dependent type II diabetes mellitus. His oxygen levels are 92%, his blood pressure is 150/95 mmHg and he reports that his fasting blood sugar levels tend to be around 140. He does not have any current acute illness or infection besides his cardiac condition. He arrived in the emergency department complaining of chest pain and pressure.

Based on the above case studies, determine what types of monitoring would be appropriate given the patient information for each of the case studies.

For each of the four case studies:

• Identify what type of monitoring needs to be done.
• Explain what the monitoring is measuring (ex: pulse oximeter, a non-invasive sensor applied to finger, toe or earlobe to measure percentage of saturation of peripheral oxygen. 95% or higher is ideal).

A postoperative client is requesting the prescribed oxycodone 5mg by mouth for pain. What assessment data should the nurse collect before administering this medication?

For Information Cards Part 6, create an information card for each of the following medications (8 total):

1. Naloxone
2. Lidocaine
3. Bupivacaine
4. Tetracaine
5. Albuterol
6. Dantrolene sodium
7. Sodium bicarbonate
8. Vasopressin

Each Pharmacology Information Card should focus on a single medication used in the surgical environment and must contain the following information:

• Generic name/Brand name(s)
• Indications and usage
• Classification schedule
• Dosage forms
• Adverse reactions/side effects
• APA formatted credible source(s)

an Essay of five paragraphs

Underline your thesis statement

Underline the main idea sentence in each paragraph of the body of essay

Underline the re-stated thesis statement

Essay

Cause and Effect Essay Topic

• What will be the effects of the rise in obesity on the healthcare system?
• What effect does stress have on health?
• What effect does an increased use of technology have on health?

from Surgical Technology for the Surgical Technologist: A Positive Care Approach, 5th ed.

A 52-year-old female patient had a modified radical mastectomy a year ago after being diagnosed with breast cancer. She completed additional treatments such as chemotherapy and the wound has healed. She is now discussing a breast reconstruction with a plastic surgeon.

1. Discuss the different reconstructive options that the surgeon might perform and whether each uses an implant or muscle.
2. 
   
3. For each option, list the differences in surgical instruments that the surgeon will require.

Same day, surgery- what are the ICD 10 codes? how do you break these down? could some let me know? greatly apperciate it.

This is a 75-year-old white female presenting with a recent increase in size of her thyroid gland on the right side. It gives her trouble swallowing but is otherwise asymptomatic for thyroid disease. She has had a thyroid mass for many years. There is no family history of thyroid disease. Thyroid scan shows a large nodule, and ultrasound reveals that the mass is mostly solid but with some cystic component. She is euthyroid. Past medical history is positive for coronary artery disease with angina, recent cataract surgery on the left eye, congestive heart failure, hypertension, and adult-onset diabetes mellitus. Medications: Isordil 20 mg by mouth every 6 hours, propranolol 80 mg by mouth every 6 hours, hydrochlorothiazide 100 mg by mouth 4 times daily, Nitro-Bid paste 1½ inch every evening, nitroglycerin 0.4 milligrams sublingual as needed, Valium 10 mg by mouth 3 times daily. No allergies. No smoking. No ethanol use. REVIEW OF SYSTEMS: Positive for two-pillow orthopnea, nocturia times 2; occasionally paroxysmal nocturnal dyspnea and edema, none recently, however. Dipstick reveals 1 to 21 sugar in urine. The patient has lost about 25 pounds on the recent diet. Physical: HEENT: Left cataract removed, right eye with cataract, thyroid not inflamed. Neck: Supple, thyroid enlarged on right side extending to isthmus. Left side feels normal. Lungs: Clear. Breasts: Benign. Heart: Regular rate with positive S4, no murmur heard. Abdomen: Protruberant umbilical hernias, soft, nontender, no masses. Extremities: No edema, pulses 21 and symmetrical and no focal motor or neurological deficits. Impression: Thyroid nodule. On 4/13, the patient was taken to the operating room where she underwent subtotal thyroidectomy for her enlarged thyroid. Frozen section diagnosis was nodular thyroid tissue consistent with follicular adenomas. She underwent the surgery well and did well in her postoperative course. Blood pressure was 130/80. She will be discharged today on her preadmission medications. She will be seen by Dr. Numann by appointment. DIAGNOSES: Thyroid follicular adenoma. Hypertension._______________________________________________________________________________________

22.The patient was admitted with gross hematuria following a long duration of prostatic symptoms and intermittent hematuria for several days. After the insertion of the Foley catheter and drainage of 400 cc of grossly bloody urine, chemistry tests revealed that he was in chronic renal insufficiency with a BUN of 66. His urinary output was very adequate. IVP showed poorly functioning kidneys but enough also to show an elevation of the bladder floor consistent with enlarged prostate (benign). Cystoscopy was carried out to rule out other causes of hematuria and the bladder found to be heavily trabeculated with many diverticuli and again a large prostatic gland. DIAGNOSES: Chronic renal insufficiency. Bladder diverticula. Benign prostatic hypertrophy._______________________________________________________________________________________

23.This 17-year-old white female was admitted to the hospital with the chief complaint of a past history of recurrent bouts of tonsillitis, having missed three days of school this year because of a severe bout and having another sore throat that started as soon as the penicillin stopped. She also has had earaches. She has had streptococcal sore throats. She consulted Dr. Port, who advised her to have a T&A. Physical examination revealed the tonsils to be large, but they appeared benign at the time of admission. She had an anterior lymphadenopathy. Laboratory studies on admission revealed hemoglobin 13.3 grams,

ematocrit 39.6, and white blood count 5700 with 42 polys. Urinalysis was negative. The bleeding time was 1 minute 30 seconds. Partial prothrombin time was 24 seconds. Chest x-ray normal. The patient was admitted to the hospital, prepared for surgery, and taken to the operating room where, under satisfactory general endotracheal anesthesia, a T&A was performed. Following the operation, she had an uncomplicated postoperative recovery. That afternoon she was awake, alert, and afebrile; had no bleeding; no anesthetic complications. The tonsillar fossa were clean; she is accordingly discharged on April 13 to see Dr. Port in one week and me in two weeks. DIAGNOSES: Diseased and hypertrophied tonsils and adenoids. Past history of recurrent bouts of streptococcal sore throats and tonsillitis.

24.This is a 15-year-old who was involved in a truck and bicycle accident in August. He continued to have problems with his right knee. He was referred to Dr. Jones, who diagnosed him as having torn medial meniscus of right knee as the sequela of previous fracture right patella and knee soft tissue injuries. Patient was admitted to the hospital on August 17 and underwent surgery that consisted of arthrotomy and medial meniscectomy of right knee. Patient did well on a postoperative period and was sent home in good condition.DIAGNOSIS: Bucket-handle tear of medial meniscus, right knee. (Sequela.)

25.Two weeks ago on a routine examination, Dr. Woughter detected a firm ridge in the right lobe of the prostate, became suspicious, and suggested to the patient that he have this biopsied at an early date. Patient presents now for biopsy procedure. A needle biopsy of the prostate reveals adenocarcinoma of prostate. Pathology results report adenocarcinoma of prostate. I have advised a radical prostatectomy. DIAGNOSIS: Carcinoma of prostate.