In a patient with hemophilia, what clotting factor is affected and explain the pathophysiology of this disease. |
In: Nursing
what is the definition of determinants of health?
- How is housing significant as a determinant of health
- what is the dimension and components of housing
- how does housing as a determinant link to good and poor health
In: Nursing
case study
Julie is 45 year old mother and lives on a cropping farm, run as a
family business, with her husband and his brother. Julie has three
children same, aged 14; Katie, aged 12 and James aged 8.The two
older children attend boarding school and return home for holidays.
James is at home and attends the local primary school 50 km
away.
Both Julie's boys have type 1 diabetes that she manages.
Julie has lived with her diabetes for 37 years and has many
comorbidities due her both her diabetes and celiac disease. which
she developed as a teenager. Julie has stage 3 chronic kidney
disease, poor eyesight and osteoporosis. She is currently tryinģ to
give up smoking after having smoked since of 16.
Julie currently sees her endocrinologist in large metropolitan
hospital every three-month at outpatient clinic. It take her five
hours to drive by car to the appointment in the city a journey that
she takes with her husband. Her nephrologist is based at the
regional hospital about 2 hours drive from home.Julie engages with
a diabetes educator via phone and face to face monthly . The local
hospital is 50 km away and is small, rural hospital. with a locum
doctor and regular nursing staff, who cover the acute inpatient
ward, and community registered nurse. She attends a community
chronic diseases self management program at the local church hall
run by the community registered nurse once a week in town and does
her weekly groceries. Julie has expressed to the diabetes educator
that she need more assistance with managing her own condition. She
is concerned that her son who have type 1 diabetes, may end up with
the same comorbidities as her because she has an autoimmune chronic
condition
Question
identify 5 evidence based nursing intervention that are appropriate
to implement in planning the patient's nursing care and provide a
clear rationale for each intervention
In: Nursing
2. A patient has hepatomegaly, bronze-colored skin, and cardiac dysrhythmias. What condition does the healthcare professional prepare to teach the patient about?
Aplastic anemia |
||
Pernicious anemia |
||
Hereditary hemochromatosis |
||
Immune thrombocytopenia purpura |
A man reports to the healthcare professional that he had a sudden onset of malaise, low back pain, and perineal pain with high fever and chills, dysuria, nocturia, and urinary retention. What action by the healthcare professional is most appropriate?
Assess the man's recent sexual history. |
||
Recommend heat and acetaminophen for back pain. |
||
Prepare the man for prostatic massage. |
||
Assist the man in obtaining a urine sample. |
The healthcare professor states that a patient has reached pain tolerance. What further information from the professor is most accurate?
The patient cannot endure a higher level of pain intensity at this point. |
||
The patient's pain tolerance is much lower because of consuming too much alcohol. |
||
The patient's pain in one place is higher because pain in multiple other sites. |
||
The patient now recognizes what is being felt is actually pain. |
A patient has been diagnosed with lithium toxicity. Which electrolyte imbalance does the healthcare professional correlate with this condition?
Hypernatremia |
||
Hyponatremia |
||
Hyperkalemia |
||
Hypokalemia |
A healthcare professional had taught a pregnant woman about the risk of transmitting herpes simplex virus (HSV) from her to her fetus. What statement by the woman indicates the professional needs to provide more information?
Neonatal infection with HSV rarely occurs in the intrapartum or postpartum period. |
||
The risk is higher in women who have a primary HSV infection. |
||
The risk is higher in women who experience prolonged ruptured membranes. |
||
The risk is higher when internal fetal monitoring devices are used. |
In: Nursing
A child has a disorder that resulted in the failure of bones to ossify, resulting in soft bones and skeletal deformity. What treatment plan does the healthcare professional discuss with the parents?
Extremely careful handling |
||
Increasing vitamin D intake |
||
Revascularization |
||
Containment and motion therapy |
A patient in the clinic had a femur x-ray that was read as having a moth-eaten appearance. What treatment option does the health care professional discuss with the patient?
Limb-salvaging surgery |
||
Amputation |
||
Oral bisphosphonates |
||
Calcium and vitamin D supplements |
A healthcare professional has taught a parent group about the causes of enuresis. What statement by a parent indicates the professional needs to give more information?
A maturational lag may cause enuresis. |
||
Enuresis may be related to increased light sleep. |
||
Obstructive sleep apnea may be a symptom of enuresis. |
||
Elevated nocturnal levels of vasopressin may cause enuresis. |
In: Nursing
A child has phenylketonuria (PKU). The healthcare professional educates the parents on the special diet needed, telling them that children with PKU are unable to synthesize what?
Essential amino acid, phenylalanine, to tyrosine |
||
Renin, erythropoietin, and antidiuretic hormone |
||
Aldosterone, cortisol, and androgens |
||
Neurotransmitters gamma-aminobutyric acid (GABA) and acetylcholine |
What is the effect of low plasma albumin?
Clotting factors decrease, thus increasing the chance of prolonged bleeding. |
||
Fewer immunoglobulins are synthesized, thus impairing the immune function. |
||
Less iron is stored, thus increasing the incidence of iron deficiency anemia. |
||
Osmotic pressure decreases; thus water moves from the capillaries to the interstitium. |
A child has Duchenne muscular dystrophy and the parents want to know how this occurred. Which statement by the healthcare professional is most accurate?
X-linked recessive inheritance |
||
Common SMN1 gene abnormality |
||
Autosomal dominant inheritance |
||
Inheritance is not well defined |
In: Nursing
QUESTION/SUBJECT. Choose a sociological subject in relation to your department (field of study). Ask sociological questions about the subject in accordance with a sociologist’s lines of questioning (please refer to the Table 3.1: A Sociologist’s Line of Questioning in the textbook, read the related part, and watch the OL video if you need). Give your answers in the space allocated below. You should rely on your own examples and words. Thus, there can be no identical papers. In such cases as well as copy-paste writing, the essays in question will be considered as cheated.
ANSWER.
YOUR DEPARTMENT/FIELD OF STUDY:
YOUR SUBJECT/TOPIC:
FACTUAL QUESTION:
COMPARATIVE QUESTION:
DEVELOPMENTAL QUESTION:
THEORETICAL QUESTION:
In: Nursing
Research current trends in health services delivery in the United States. Select and discuss two trends that you find interesting and that are expected to shape the future of healthcare. How might the healthcare system be required to adapt in light of the trends? Health Care
In: Nursing
Chronic Kidney Disease and diabetes patient
how it effect how long ?
what is recommendation patient?
How to prevent ?
What is the cause?
What is the pathophysiology?
This should be article for past 3 yeras
In: Nursing
As a medical administrator it's essential to have effective communication skills. How would you handle an irate patient who's in need of medical care and seeks treatment in your medical office? Discuss methods for professionally communicating with the patient. Strategize with your peers on the best approaches for professional communication.
In: Nursing
Discuss the Health Insurance Portability and Accountability Act (HIPAA). Include the following:
1. Why was the law implemented.
2. What are the major aspects of HIPAA?
3. What are some examples of HIPAA violation?
In: Nursing
case study
Julie is 45 year old mother and lives on a cropping farm, run as a
family business, with her husband and his brother. Julie has three
children same, aged 14; Katie, aged 12 and James aged 8.The two
older children attend boarding school and return home for holidays.
James is at home and attends the local primary school 50 km
away.
Both Julie's boys have type 1 diabetes that she manages.
Julie has lived with her diabetes for 37 years and has many
comorbidities due her both her diabetes and celiac disease. which
she developed as a teenager. Julie has stage 3 chronic kidney
disease, poor eyesight and osteoporosis. She is currently tryinģ to
give up smoking after having smoked since of 16.
Julie currently sees her endocrinologist in large metropolitan
hospital every three-month at outpatient clinic. It take her five
hours to drive by car to the appointment in the city a journey that
she takes with her husband. Her nephrologist is based at the
regional hospital about 2 hours drive from home.Julie engages with
a diabetes educator via phone and face to face monthly . The local
hospital is 50 km away and is small, rural hospital. with a locum
doctor and regular nursing staff, who cover the acute inpatient
ward, and community registered nurse. She attends a community
chronic diseases self management program at the local church hall
run by the community registered nurse once a week in town and does
her weekly groceries. Julie has expressed to the diabetes educator
that she need more assistance with managing her own condition. She
is concerned that her son who have type 1 diabetes, may end up with
the same comorbidities as her because she has an autoimmune chronic
condition
Question
identify 5 evidence based nursing intervention that are appropriate
to implement in planning the patient's nursing care and provide a
clear rationale for each intervention
In: Nursing
Bone and Joint Drugs Case Study Assignment
MS is a relatively healthy 73 year old retired clerk who has recently been diagnosed with post-menopausal osteoporosis. She has been prescribed treatment with ibandronate 150 mg each month. She has many questions, and you are reviewing the drug and its use with her.
Questions
MS tells you she likes to heave breakfast, take her morning medications, and then lie down on the couch to read the morning newspaper. She asks whether the ibandronate will fit into her routine. What will you tell her?
A week later, MS calls the clinic to ask what to use for headaches. She mentions she has several different types of pills and asks you if they are all same. How will you respond?
A few months later MS comes in for a follow up visit. She tells you that she is due for her next osteoporosis next week, but she has been having some jaw pain ever since she went to the dentist 2 weeks earlier to have a tooth pulled. She is worried that her osteoporosis has affected her jaw. What could be the reason for this pain? What do you think will be done about it?
In: Nursing
The World Health Organisation (2015) states:
“Healthy ageing is a process of developing and maintain the functional ability that enables wellbeing in older age. Functional ability is about having the capabilities that enable all people to be and do what they have reason to value” Using the context provided in the statement above, critically analyse your role as a registered nurse in empowering the older adult.
In your response discuss current evidence-based approaches to the promotion of healthy ageing.
In: Nursing
In: Nursing