you have been posted to anfoega CHIPS compound as a community health officer (CHO). As part of your work, you are to mobilize the community members to undertake a project on sanitation. (a) describe how you would mobilize the community memebers to undertake this project? (b) describe how you would educate them on proper disposal of refuse in the community?
In: Nursing
In: Nursing
After watching “Visualizing Effective Healthcare Dashboards”: 1- what area you will use dashboard for? 2- what are three metrics you will look at and measure in your dashboard?
In: Nursing
Client Profile
Baby Martin was born via a normal spontaneous vaginal delivery (NSVD) at 36 weeks gestation. The mother arrived at the emergency room dilated to 9 centimeters and 100 % effaced. The mother also reports ruptured membranes for the past 22 hours. The fetal heart rate upon admittance to the emergency room is 170 bpm. The mother delivered in the emergency room 30 minutes after being examined. This is her seventh pregnancy, and she did not have prenatal care.
Case Study
Martin was admitted to the observation nursery from the emergency room where he was born. He weighed 5 pounds and was 19 inches long. His APGAR scores were 6 at one minute, and 8 at five minutes. Points were initially taken off for tone, reflexes, and color. His initial glucose was 35 and vital signs were heart rate 150, respirations 76, and temperature 97.2. The nurse noted some nasal flaring, grunting, and coarse breath sounds. He was given 1 ounce of D5W orally; oxygen therapy, and his skin and pharynx were cultured. The orders also included that he be placed on a warmer with skin probe for temperature monitoring.
At two hours the baby's glucose was 40, the nasal flaring continued, respiratory rate was 100 with continued coarse breath sounds. He exhibited acrocyanosis, and his temperature was 96.8. The baby was treated for transient tachypnea of the newborn with oxygen therapy and a warm environment.
At four hours the nurse noted that the baby was lethargic and difficult to arouse. He appeared pale with circumoral cyanosis, nasal flaring, and grunting with sternal retractions. The nurse notified the doctor, an IV was started, and the baby was transferred to the neonatal intensive care unit at a hospital in the next town.
At six hours the mother called the NICU to check on his progress and was told that he had subsequently developed jaundice and was on a ventilator.
Questions
1. What is the significance of the fact that this mother had no prenatal care? ( Please explain in detail)
2. What are the risks involved in a precipitous delivery? What do you think might have been done differently for this delivery had the mother come in at 4 to 6 cm instead of 9 cm? ( please explain in detail and if you use a source please cite it)
In: Nursing
Patient: Mr. Kim, 65 y/o rushed to ER Dept. and diagnose with COPD (Chronic Obstructive Pulmonary Disease) with difficulty of breathing, BP-100/70, T-38, HR-105, RR-27/min. Use the Maslow's Theory into Nursing Practice.
In: Nursing
diagnosis
epidemiologic
parameters
antihypertensives
cardiac
lipoprotein
diastolic
interventions
hypertriglyceridemia
hemoglobin
myocardial
demographic
Serum
prediction
Collaborators
hypothesis
territories
hypercholesterolemia
Angiology
myocardial
cholesterol
Hemoglobin
please type thank you.
In: Nursing
Client Profile Baby Martin was born via a normal spontaneous vaginal delivery (NSVD) at 36 weeks gestation. The mother arrived at the emergency room dilated to 9 centimeters and 100 % effaced. The mother also reports ruptured membranes for the past 22 hours. The fetal heart rate upon admittance to the emergency room is 170 bpm. The mother delivered in the emergency room 30 minutes after being examined. This is her seventh pregnancy, and she did not have prenatal care. Case Study Martin was admitted to the observation nursery from the emergency room where he was born. He weighed 5 pounds and was 19 inches long. His APGAR scores were 6 at one minute, and 8 at five minutes. Points were initially taken off for tone, reflexes, and color. His initial glucose was 35 and vital signs were heart rate 150, respirations 76, and temperature 97.2. The nurse noted some nasal flaring, grunting, and coarse breath sounds. He was given 1 ounce of D5W orally; oxygen therapy, and his skin and pharynx were cultured. The orders also included that he be placed on a warmer with skin probe for temperature monitoring. At two hours the baby's glucose was 40, the nasal flaring continued, respiratory rate was 100 with continued coarse breath sounds. He exhibited acrocyanosis, and his temperature was 96.8. The baby was treated for transient tachypnea of the newborn with oxygen therapy and a warm environment. At four hours the nurse noted that the baby was lethargic and difficult to arouse. He appeared pale with circumoral cyanosis, nasal flaring, and grunting with sternal retractions. The nurse notified the doctor, an IV was started, and the baby was transferred to the neonatal intensive care unit at a hospital in the next town. At six hours the mother called the NICU to check on his progress and was told that he had subsequently developed jaundice and was on a ventilator.
Questions (if you use sources please cite it)
1. Why is this baby hypothermic, and how does it affect this baby's transition? ( Please explain in detail)
2. . What is the significance of jaundice in a 6- hour old infant? ( please explain in detail )
3. How significant is the acrocyanosis? (please explain in detail)
In: Nursing
A nurse is caring for a client with hypokalemia. What
medications could have caused this imbalance? |
In: Nursing
In: Nursing
we have been discussing drugs and how they are categorized into schedules although they have a high risk potential for abuse schedule 11 drugs do have legitimate medical use it is important as the medical assistant to be aware of any signs of abuse when it comes to prescribing medications what are some drug seeking behaviors to watch for
In: Nursing
1) Why do southern states have a higher percentage of people living in poverty?
2) No matter the age group why are more females living in poverty?
3). Discuss one issue from the video that was new information to you or that had an impact on how you feel about poverty in America Maternal Health and When the Bou
In: Nursing
Case Scenario: Task
A patient rushed to ER Dept. with complaint of severe DOB. As independent nursing intervention,
patient was placed on bed safely in high back rest and hooked to O2 inhalation at 5 Lpm via face
mask. Upon assessment, Mrs. Nicole Reyes, a 42-year-old, the Physician noted that there is
swelling on her right breast, discharge and crusting on nipple, v/s BP: 150/90, RR, 40, SPO2: 88%,
Temp. 36.5 C. On examination, the Physician note that her breasts feel nodular but with discrete masses
T-3 >5 cms, N-3, M-1. Other findings include evidence of inflammation, w/ axillary node enlarged.
Thorax assessment as follows: Decreased chest movement, Stone dullness to percussion,
diminished breath sounds, decreased resonance and fremitus, + pleural friction rub and
egophony, In response to questioning, she relates that she is a “heavy coffee drinker” and is
under a great deal of stress in her job, and the mass was noticed 5 years ago with no consultation was made due financial constraint. She reports that a maternal aunt died of breast cancer. She
wants to know if the mass could be cancerous or what can be done to eliminate this breast problem.
The Doctor order for some laboratory examinations and stat CXR. Initial Dx r/o Breast Cancer Stage III,
Pneumonia, Covid 19 Suspect
1. Apply COLDSPA
Character
Describe the sign or symptom (feeling,
appearance, sound, smell, or taste if applicable).
Onset
When did it begin?
Location
Where is it? Does it radiate? Does it occur
anywhere else?
Duration
How long does it last? Does it recur?
Severity
How bad is it? Or How much does it bother you?
Pattern
What makes it better or worse?
Associated factors/How it Affects the client
What other symptoms occur with it? How does it
affect the client
2. Make a Concept Map
3. Associated Concepts
WHY WAS IT ORDERED? Level 1
Associated Concepts:
Infection
The purpose of this activity is to evaluate client orders and determine the relationship to the
concept of infection.
Related Concept Learning Outcomes
1. Describe diagnostic and laboratory tests to determine the individual’s infection status.
2. Compare and contrast independent and collaborative interventions for clients with
infection.
Client Diagnosis:
Instructions: Search through the orders in the client’s medical record and identify how each
order is related to the concept of infection. Consider medications, diagnostics, and collaborative
considerations. Fill out the following table.
Order How is the order related to infection?
Sputum GS/ CS ( Gram stain/ Culture and -
sensitivity
CBC w/ Platelet count -
Na+, K+ -
Ferritin -
HCRP -
SGPT, SGOT -
Nasopharyngeal swab/Oropharyngeal -
Swab for Covid 19 -
Blood Culture R and L pheripheral
In: Nursing
In: Nursing
Please answer this with a thorough explanation and a solution on how you solved the problem so I can understand this lesson. Thank you very much for helping.
Situation: At 6:00 a.m., A one liter Plain NSS solution was started. It is to run for 18 hours. however, after 6 hours, the IV had to be stopped and transferred to another site. After an hour the IV infusion was resumed.
3.1. How much of the solution was consumed 6 hours after it started ? _____________
3.2. How much of the solution was left when it was transferred to another site? _______________
3.3. What should be the drip rate of the solution after it was reinserted? _____________ ml/Hr ? ___________
3.4. What time is it expected to be consumed? __________
3.5. IV fluids should be consumed within 24 hours once it is opened. Is the above solution consumed within 24 hours after it was started?
3.6. Why should an intravenous solution be consumed within 24 hours? What do we do if there is a remaining amount of solution in the bottle?
In: Nursing
In: Nursing