In: Nursing
In: Nursing
Discuss six possible complications that can arise in the pueperium?
In: Nursing
Compare telehealth in Ontario to Successful Telehealth Programs?
-look at a couple of comparable telehealth programs that are begin shown to be successful
-what did changes they implement to make it work for users
In: Nursing
Discuss how disease affects the elderly and how their lives might change. Include health insurance costs, the need for additional income for treatment or in-home healthcare, and the need for other resources. Consider the possibility that you may need progressive medications and treatments that could be life changing but may not be covered by insurance.
In: Nursing
In: Nursing
What nursing assessments are essential when caring for a child taking diuretics? Why are these nursing assessments important?
In: Nursing
what are the characteristics of an effective leader? Give an example of an effective leader you know, and explain why and how he or she is effective
In: Nursing
Support your response with the appropriate citation
1. how does management in nursing practice differ from management in general?
2. what tasks are common to both leadership and management.
3. what are the major leadership style? which style is optimal to use in which situation?
In: Nursing
An 85-year-old man with previously normal bowel function began to complain of constipation, rectal bleeding, and pencil-like stool. The results of a physical examination were negative.
|
Studies |
Results |
|
Routine laboratory studies |
Normal, except for the following: |
|
Hemoglobin (Hgb), p. 251 |
10 g/dL (normal: 12–13 g/dL) |
|
Hematocrit (Hct), p. 248 |
29% (normal: 36%–42%) |
|
Examination of stool for occult blood, p. 800 |
Positive (normal: negative) |
|
Carcinoembryonic antigen (CEA) test, p. 129 |
33 ng/mL (normal: <2 ng/mL) |
|
Sigmoidoscopy, p. 531 |
No tumor seen |
|
Barium enema (BE) study, p. 936 |
Stricture in left side of colon |
|
Colonoscopy, p. 531 |
Tumor in left side of colon; no other synchronous lesion found |
|
Colonoscopic biopsy, p. 1040 |
Adenocarcinoma |
|
Computed tomography (CT) scan of abdomen and liver, p. 962 |
Large tumor of the left colon; no evidence of liver metastasis |
Diagnostic Analysis
The elevated CEA level and the occult (hidden) blood in the stool indicated serious colorectal disease. Because the sigmoidoscopy was normal, the disease was suspected to be beyond the reach of the 25-cm sigmoidoscope. The barium enema study demonstrated a narrowing in the left side of the colon, which could have been caused by infection, infestation, or neoplasm. Adenocarcinoma of the colon was diagnosed by means of a colonoscopic biopsy. Another alternative to colonoscopy for this patient would be virtual colonoscopy. CT scan failed to show any evidence of metastasis. The patient had surgery to resect the left side of his colon. Postoperatively, his CEA level was 1.8 ng/mL. On examination 3 years later, no evidence of disease was found. Five years after surgery, his CEA had risen to 38 ng/mL. He was found to have liver metastasis from his primary tumor in the colon. He died 18 months after that diagnosis.
Critical Thinking Question
In: Nursing
A 48-year-old woman comes to the clinic for a routine wellness checkup. In speaking with the nurse, the patient reports she has an intermittent aching feeling in her left lower abdomen and feels sluggish at times. She describes herself as a “couch potato” and says she gets a lot of exercise at her job and driving her sons to various activities. When the nurse palpates the abdominal area, the patient denies pain at the time but expresses that she is getting tired of feeling this ache and cannot explain why it is there. The patient is a busy mother of three boys and works from 7 am to 3 pm daily in a day care center near her home.
In: Nursing
How has the Covid-19 pandemic affected patient care, the delivering of patient care, and the role of the nurse?
In: Nursing
The medical, social and financial costs of obesity are well known. So is the fact that eating less and moving more will promote weight loss. However, these conventional methods do not always work. When they fail, is surgery a good weight-loss option?
In: Nursing
write 2 paragraphs to compare and contrast metabolic acidosis and metabolic alkalosis?
In: Nursing
What is the process and documentation require to discharge a patient?
In: Nursing