What medical and nursing management may be anticipated for a geriatric patient with heat exhaustion and/or dehydration?

A client presents to the Emergency Room after a motor vehicle accident. The client denies hitting their head; however, they do report pain in the left upper quadrant of their abdomen, and their breathing is labored with a respiratory rate of 28. Normal bowel sounds are auscultated. During the interview, the client states he has black, sticky stools weekly. (20 points)

• Discuss how the nurse will assess the client’s abdomen, including any significant landmarks and techniques.
• Describe the expected bowel sounds that are auscultated during the assessment and their meaning.
• Upon assessment, a mass in the upper left quadrant is palpated and the client states there is sensitivity when this is done. Discuss how the potential cause of this mass and how the nurse should proceed with the assessment
• Identify additional assessment questions the nurse ask regarding the client’s statement of black, sticky stools.
• The provider orders for the client to get 1. 5 L of normal saline via intravenous infusion over 8 hours. How many mL total will the client receive?

An elderly client presents to the clinic with complaints of shortness of breath, inability to lay flat in bed, and swollen feet bilaterally. He has a history of congestive heart failure and poor eating habits. He weighs 325 pounds and is 66 inches tall. (20 points each)

• Describe the cardiac assessment that the nurse would perform on this client, including key sounds and landmarks.
• Identify the assessment findings the nurse will expect to find.
• Discuss the respiratory questions should the nurse ask the client and why.
• Describe the technique and the rationale for auscultating the carotid artery in this client.
• How many kilograms does the client weigh? Show your work.

The nurse is assigned to a young adult brought to the clinic by her father for her angry demeanor, agitation and outbursts at home. The nurse notes that the client is dressed in all black, including make-up and hair. No eye contact is made, and appears restless and jittery. (20 points each)

• Identify the key components of the mental status examination.
• Describe the steps to the mental health examination the nurse should perform with rationale.
• Discuss how a client’s decision-making and judgment is evaluated during the mental health examination.
• Identify how a nurse could interpret the client’s agitation, angry demeanor and lack of eye contact.
• During the eye assessment the nurse notes that the client’s eyes are constricted. How does the nurse interpret this finding?

Morrison-Valfre: Foundations of Mental Health Care, 6th Edition

Chapter 31: Schizophrenia and Other Psychoses

Study Guide

Student Name             Date ________________________

Fill-In-The-Blank

Identify the terms that most closely describe the behaviors characterized in the following statements:

1. __________________ Disorders marked by a loss of contact with reality

2. __________________ Lack of energy or motivation

3. __________________ Abnormal involuntary movement disorders caused by a drug-induced imbalance between two major neurotransmitters in the brain

4. __________________ False sensory inputs with no external stimulus

5. __________________ The idea that people in the media are talking about oneself

6. __________________ Inability to recognize familiar environmental objects or people

7. __________________ False perceptions of real objects or persons

8. __________________ Inability to tell where one’s body ends and the environment begins

9. __________________ Lack of ability to produce new thoughts or follow a train of thought

10. Sam is delusional. Describe his behavior.

___________________________________________________________________

___________________________________________________________________

11. Lisa is sitting in the corner with her hand covering her mouth. She is whispering and giggling, and she appears to be deeply involved in a conversation, but no one is around. She is experiencing:

___________________________________________________________________

12. A potentially fatal extrapyramidal side effect of antipsychotic medications is:

___________________________________________________________________

The three major responsibilities when caring for clients who are receiving antipsychotic drug therapy are:

13. __________________________________________________________________

14. __________________________________________________________________

15. __________________________________________________________________

1. What does the Court mean by the assertion that a woman’s right to abortion is not absolute?

This requires a 250 word initial post

Identify: A subjective claim that people might call “a fact” An objective claim that people might call “an opinion” What is the difference between a claim that is “objective” and a claim that is “subjective?” Explain how mislabeling these claims could negatively impact the quality of a person’s thinking. You might try thinking of claims you could hear in a hospital or another work-related environment. If a person has confused objective with subjective or fact with opinion, what is the solution?

A recent study found that alow-risk lifestyle protected women from sudden cardiac death. Thelow-risk lifestyle was considered as  

Case study Ch. 41

Pyloric Stenosis

Lucy is a 44-day-old formula-fed infant with a 4-day history of vomiting.

Subjective Data

Mother states that the infant has:

Been vomiting undigested formula after feedings.
Has not had fever or diarrhea.
Has had eight wet diapers in the last 24 hours.
Objective Data

Weight: 4.8 kg

Birth weight: 3.5 kg

Vital signs: temp, 37.1º C (rectal); pulse, 130 bpm; resp, 30 breaths/min; blood pressure,
92/52 mm Hg

Moist mucous membranes; flat and soft anterior fontanel

Awake and alert, lusty cry

Good muscle tone

Olive-sized mass palpated at epigastrium

Questions:

What test will be used to diagnose pyloric stenosis?
What actions should the nurse take in this clinical situation? Prioritize the actions.

Nurses in leadership and management roles must congenially work together with staff to foster respect to all patients and colleagues, irrespective of their cultural differences. This discussion is designed to introduce key principles to address and apply among diverse groups.

Use Google Scholar™, Leading and Managing in Nursing, or the University Library to define multiculturalism, cross-culturalism, and transculturalism.

Explain the definitions and give an example by applying each term to a situation in your current practice setting (175 with Reference)