Bob has been active all of his life. He played soccer from elementary school all the way through college. He even played on a community team but now at age 45, he’s been diagnosed with high blood pressure (hypertension). At times he ate too much junk food and occasionally drank too much alcohol but he couldn’t get around the fact that the men in his family all had high blood pressure. Dr. Miller, Bob’s primary care physician, had to prescribe two different antihypertensive medications in order to get his blood pressure under control. She also recommended Bob continue his regular soccer workouts but suggested a low-salt diet and more modest alcohol intake. Bob heeded Dr. Miller’s recommendations. His father and his 2 uncles had hypertension at a young ages, and all 3 men ended up on dialysis before dying from complications of kidney failure.Bob began the recommended lifestyle changes at age 45 and even started running regularly to keep his blood pressure under control. Now, 10 years later, he was a marathoner and participated in local marathons, competing with, and outrunning many his own age. However, Bob noticed that during the past several months, he’d experienced more fatigue than normal and some dehydration symptoms after his long runs. After consulting with Dr. Miller, Bob sought the help of Ty, an exercise physiologist, to help him maintain his exercise regime and his health without feeling “old”.Ty worked with Dr. Miller to make sure that Bob was monitored closely since he was still taking his anti-hypertensive medications. Ty suggested a urinalysis to assess Bob’s physical condition before, during and after his workouts. Bob dutifully supplied urine samples to Dr. Miller for evaluation as Ty recommended. Ty explained that Bob’s dehydration symptoms were more difficulty to evaluate since the medication Bob took to control his high blood pressure could affect his renal status or physiologic functioning.Dr. Miller logged the following results of Bob’s urinalysis immediately after, and six hours after, a rigorous 2-hour run.

Ty noted the color changes of Bob’s urine before, immediately after and 6-hours after his workouts. What do the color changes of Bob’s urine indicate?

Ty also noted that Bob’s specific gravity changed with each urine collection. Explain how Bob’s urine color/concentration compare to the urine specific gravity at the same time?

Bob has been active all of his life. He played soccer from elementary school all the way through college. He even played on a community team but now at age 45, he’s been diagnosed with high blood pressure (hypertension). At times he ate too much junk food and occasionally drank too much alcohol but he couldn’t get around the fact that the men in his family all had high blood pressure. Dr. Miller, Bob’s primary care physician, had to prescribe two different antihypertensive medications in order to get his blood pressure under control. She also recommended Bob continue his regular soccer workouts but suggested a low-salt diet and more modest alcohol intake. Bob heeded Dr. Miller’s recommendations. His father and his 2 uncles had hypertension at a young ages, and all 3 men ended up on dialysis before dying from complications of kidney failure.Bob began the recommended lifestyle changes at age 45 and even started running regularly to keep his blood pressure under control. Now, 10 years later, he was a marathoner and participated in local marathons, competing with, and outrunning many his own age. However, Bob noticed that during the past several months, he’d experienced more fatigue than normal and some dehydration symptoms after his long runs. After consulting with Dr. Miller, Bob sought the help of Ty, an exercise physiologist, to help him maintain his exercise regime and his health without feeling “old”.Ty worked with Dr. Miller to make sure that Bob was monitored closely since he was still taking his anti-hypertensive medications. Ty suggested a urinalysis to assess Bob’s physical condition before, during and after his workouts. Bob dutifully supplied urine samples to Dr. Miller for evaluation as Ty recommended. Ty explained that Bob’s dehydration symptoms were more difficulty to evaluate since the medication Bob took to control his high blood pressure could affect his renal status or physiologic functioning.Dr. Miller logged the following results of Bob’s urinalysis immediately after, and six hours after, a rigorous 2-hour run.

Based on the urine color and specific gravity, Ty assessed Bob’s hydration status at the three different urine collection times. Explain what you believe to be Bob’s hydration status before Bob began his workout, immediately after his work and 6-hours after his workout.

Antidiuretic hormone (ADH) plays a large part in regulating the formation of concentrated or dilute urine. During Bob’s long runs, his ADH secretion would change based on how much he perspired. Explain why ADH secretions would fluctuate during Bob’s long runs.

Why are diabetic patients at high risk to develop COVID-19 complications and why is there a higher mortality rate among them?

You are caring for a client who has had COPD exacerbation and is feeling out of sorts. You find among other things, they are dealing with respiratory acidosis. How would you assist the client to manage their discomfort associated with the symptoms of this type of acid-base imbalance? And how will you enhance the care you recommend in your answer to the first question using client-centered care strategies?

The family of a patient about to remove the patient from life support. What would be appropriate interventions ?

What is the importance of Anthropology in nursing

• How will you “see like an anthropologist” in your future, both personally and professionally as a nurse?

medical terminology)

case study for patient case

find all medical terms, add more medical termes uo to 100 and defined them. ( underline each term)

Introduction:

The patient Mr. J, a 58 years old African-American, admitted in the Emergency Department with complaints of loss of balance followed by the altered level of consciousness (ALOC), left-sided hemiparesis, dysarthria, and facial droop. He denied chest pain, visual disturbances, cephalalgia, trauma, bowel incontinence, urinary incontinence, etc. He had stable vital signs except blood pressure of 150/90 mm of Hg, indicating hypertension. After necessary diagnostic tests, the physician diagnosed the case as a cerebrovascular accident (CVA).

Past Medical History:

Mr. J was diagnosed with diabetes mellitus (DM) type 2 at the age of 40 years. He was taking some herbal remedies at first, but is on antidiabetic agents as per physician's prescription for eight years. He is also on antihypertensives for three years. He also has a history of hypercholesterolemia and gouty arthritis, an inflammatory condition of joints, especially the hallux joint, due to deposition of urate crystals, but he is not on any medications for that. He is having a poor compliance with the medication regimen. Currently, he is taking ACE (angiotensin-converting enzymes) inhibitors, beta-blockers for his hypertension, and an antihyperglycemic agent, Metformin, for diabetes mellitus.

Family History:

Mr. J's father died from myocardial infarction (MI). He had a history of hypertension (HTN), coronary artery disease (CAD), and benign prostatic hyperplasia (BPH). Mother is suffering from diabetes mellitus (DM) and is on insulin. She also has a history of inflammatory bowel disease (IBD).

Assessment results:

revealed diagnostic evaluation with head CT scan showed ischemic stroke. Blood samples taken revealed hypercholesterolemia with cholesterol level 300 mg/ dL (milligrams per deciliter), high-density lipoprotein (HDL) 40 mg/dL, and low-density lipoprotein (LDL) 150 mg/dL. His fasting blood sugar (FBS), random blood sugar (RBS), or glycosylated hemoglobin were not obtained. He is on Metformin for hyperglycemia.

Results revealed that the patient is having an attack of right-hemisphere ischemic cerebrovascular accident.

Consent: Patient consent was obtained for a detailed eye examination referral.

****Disease condition:

Stroke (cerebrovascular accident): The loss of brain function arising from the sudden interruption of cerebral blood supply. It might be of two types; hemorrhagic CVA and ischemic CVA. Hypertension and hyperlipidemia are the two main risk factors of CVA. Other risk factors are smoking, obesity, family history, etc.

The main causative factors are:

1. Thrombosis (clot formation) due to atherosclerotic plaques.

2. Embolism or cardiogenic emboli.

Actions taken:

1. Intravenous (IV) injection of TPA (recombinant tissue plasminogen activator).

2. Administration of antiplatelet blood thinners, aspirin.

3. Vital signs monitoring q.4 hours.

4. Management of intracranial hypertension (IH) with diuretics.

Nursing assessment:

1. Assessment of neurological status to know the severity of CVA.

2. Altered level of consciousness (ALOC).

3. Nuchal rigidity.

4. Assessment for any dysarthria (difficulty in articulating words) and dysphagia (difficulty in swallowing).

5. Skin color of face and extremities.

Results:

The wife said, he has now changed towards the better by incorporating healthier meals and less junk food items. She mentions that he has had a difficult time in the past few years with diabetes, hypertension, gouty arthritis, etc. Change in lifestyle along with therapies and the addition of a service dog aided improvements along with his family support system. The patient spends lots of time outside with his dog and has started working on small projects, which keeps him active. She also states that the patient’s HbA1c (glycosylated hemoglobin) has not been tested for almost three months and that it needs to be tested as his RBS (random blood sugar) is high. The patient visits his podiatrist regularly for peripheral neuropathy and is on B vitamins q. daily; however, his neuropathy is on remission since undergoing transcutaneous electrical nerve stimulation (TENS). The patient’s wife is also doubtful about his mental status with increasing forgetfulness pointing towards dementia. She also remembered that he once complained of visual aura while doing gardening and after that he had photophobia for a while. She says he needs to undergo a dilated eye examination to diagnose retinopathy as he is complaining of blurred vision and floaters occasionally with some dry eyes. She says he uses over-the-counter Visine eye drops as a remedy, which she understood is for keratoconjunctivitis sicca.

When working in a hospital, there are many risks/hazards that you will be confronted with on a daily basis. The following table identifies four (4) infection risks/hazards that may be present in a hospital environment. These hazards always need to be to be reported to a senior staff member or manager, documented correctly and control measures initiated.
Build on this table by identifying the likelihood and severity of harm from each hazard/risk by using the risk ranking matrix below, immediate steps that will need to be taken to manage the situation and possible procedures that will need to be put in place (minimum one point in each section).

Infection/Hazard

Risk rating

Severity of harm

Likelihood

Immediate actions

Risk Management Procedures

3.1)     Needle stick injury

Feedback

3.2)     Blood spill on the corridor

Feedback

3.3)     Exposure to blood/body fluids

Feedback

3.4)     Contamination of materials, equipment and instruments by aerosols and splatter in an active TB client's hospital room

What is Cultural Competence? And how can it affect these evaluation steps: 1. engaging stakeholders, 2. describe the program, 3. focus the evaluation (Self Writing please)

When working in a hospital, there are many risks/hazards that you will be confronted with on a daily basis. The following table identifies four (4) infection risks/hazards that may be present in a hospital environment. These hazards always need to be to be reported to a senior staff member or manager, documented correctly and control measures initiated.
Build on this table by identifying the likelihood and severity of harm from each hazard/risk by using the risk ranking matrix below, immediate steps that will need to be taken to manage the situation and possible procedures that will need to be put in place (minimum one point in each section).

Infection/Hazard. Risk rating.    Severity of harm. Likelihood. Immediate actions. Risk Management Procedures

3.1)     Needle stick injury

3.2)     Blood spill on the corridor

3.3)     Exposure to blood/body fluids

3.4)     Contamination of materials, equipment and instruments by aerosols and splatter in an active TB client's hospital room

When working in a hospital, there are many risks/hazards that you will be confronted with on a daily basis. The following table identifies four (4) infection risks/hazards that may be present in a hospital environment. These hazards always need to be to be reported to a senior staff member or manager, documented correctly and control measures initiated.
Build on this table by identifying the likelihood and severity of harm from each hazard/risk by using the risk ranking matrix below, immediate steps that will need to be taken to manage the situation and possible procedures that will need to be put in place (minimum one point in each section).

Infection/Hazard. Risk rating. Severity of harm. Likelihood. Immediate actions. Risk Management Procedures

3.1)     Needle stick injury

3.2)     Blood spill on the corridor

3.3)     Exposure to blood/body fluids

3.4)     Contamination of materials, equipment and instruments by aerosols and splatter in an active TB client's hospital room